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UPMC Health Plan has an exciting opportunity for an Actuary on their rockstar Value-Based Contracting Team!
This position applies knowledge of mathematics, probability and statistics in order to identify issues, gather and analyze data on a wide variety of topics affecting the financial performance of the health plan May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary.
Preferences:
Working experience in SQL and Excel
Experience with at least 2 actuarial rotations in the following fields: value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc
FSA or ASA
This role can be remote anywhere within the US!
Responsibilities:
Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
Reports to head of actuarial department or Actuarial Manager.
Presents results of analyses and recommendations to management.
Documents methods, procedures and results.
Preparation of State and Federal filings. Including Federal Exchange, Pennsylvania Insurance Department Filings and Medicare Bid Submissions.
Will own project management of projects, including deliverables and appropriate work.
Will direct and supervise junior actuarial department personnel in the performance of duties.
Responsible for the preparation of financial analyses in support of the following functions: Medical cost and utilization trend analysis; Forecasting; – Development of claim reserves (IBNR) – Completion factors using claim lag analysis models; – Provide analytical support for rate development and filings; – Provide ad hoc data analysis to all departments within the company.- Review of other’s work product.
Qualifications:
Bachelor’s degree in mathematics, statistics, actuarial science, economics or related field
And 5+ years of experience in actuarial work in health insurance, managed care or related consulting business; or equivalent training, education and/or experience.
Excellent problem-solving and analytical skills.
ASA certification
Licensure, Certifications, and Clearances:
A.S.A. or F.S.A. certification by Society of Actuaries Membership in the American Academy of Actuaries
Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
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