Actuarial Analyst II- Value Based Contracting

1 month ago

Pittsburgh, United States UPMC Senior Communities Full time
We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you.

UPMC Health Plan's growing Actuary department is seeking an Actuarial Analyst II to assist with their Value-Based Contracting work 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.

We're looking for:
  • Two years of prior working actuarial experience
  • At three passed actuarial exam and working towards SOA credential
  • Desire to learn and expand skillset as it relates to Value-Based Contracting
  • Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
  • Proficient to expert in SQL and Excel

This role is HYBRID (2x in office a week); interested parties should be local to Pittsburgh, PA or willing to relocate.

Responsibilities:
  • Medical cost and utilization trend analysis.
  • Provide ad hoc data analysis to all departments within the company.
  • Development of claim reserves (IBNR)
  • Provide analytical support for rate development and filings;
  • Assist in the preparation of financial analyses.
  • Assist in the preparation of State and Federal filings.
  • Present results of analyses and recommendations to management.
  • Forecasting.
  • Completion factors using claim lag analysis models;
  • Document methods, procedures and results.
  • Assist senior actuarial positions in the development of mathematical models in connection with other departments to predict the impact of proposed changes. Responsible for production of standard actuarial reports and projects as assigned.


Qualifications:

Requirements:
  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field
  • and 2 years of experience in statistical analysis or actuarial work; or equivalent training, education and/or experience in health care financing
  • 3 actuarial examinations passed or appropriate experience.
  • Actively pursuing SOA certification.
  • Willing to live in Pittsburgh, PA

Preferences:
  • Proficient to expert in SQL and Excel
  • Experience in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
  • Data retrieval skills and relational database experience.
    Licensure, Certifications, and Clearances:
  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

#LI-ISD

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