Behavioral Health Actuarial Analyst

3 weeks ago

Pittsburgh, United States UPMC Life Changing Medicine Full time

We are UPMC, and we are changing health care for the better. With 96, employees, 40 hospitals, 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 two additional Analyst I's to assist with their Behavioral Health pricing and reserving This position applies knowledge of mathematics, probability, and statistics to identify issues, and 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:

Prior working actuarial experience: internship or full-timeAt least one passed actuarial exam and working towards SOA credentialDesire to learn and expand skillset as it relates to Behavioral HealthInterest in pricing, reserving, trend/health economics, provider network analysis, risk adjustment

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

Responsibilities:

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

Requirements:

Bachelor's degree in mathematics, statistics, actuarial science, economics or related field.Prior working actuarial experience: internship or full-timeOne or more actuarial examinations passed. Actively pursuing SOA certification.Able to work in Pittsburgh, PA

Preferences:

Desire to learn and expand skillset as it relates to Behavioral HealthInterest in pricing, reserving, trend/health economics, provider network analysis, risk adjustmentExcellent problem solving and analytical skills.Good oral and written communication skills. Data retrieval skills and relational database experience.


Licensure, Certifications, and Clearances:

Act 34


UPMC is an Equal Opportunity Employer/Disability/Veteran

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