Offer summary

Qualifications:

Bachelor's degree in mathematics, statistics, actuarial science, economics, or a related field., 2 years of experience in statistical analysis or actuarial work, or equivalent training., 3 actuarial examinations passed or relevant experience, preferably in Medicaid programs., Strong problem-solving, analytical, and communication skills..

Key responsabilities:

Assist in the preparation of State and Federal filings and financial analyses.

Conduct medical cost and utilization trend analysis and provide ad hoc data analysis.

Support the development of claim reserves and assist in forecasting using claim lag analysis models.

Present analytical results and recommendations to management and document methods and procedures.

Job description

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 Medicaid/Government Product actuarial team is seeking an Actuarial Analyst II to support the team’s Medicaid program work.

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. They may represent the department on corporate projects and receive assistance from either management or senior positions when necessary. The Medicaid Actuarial team supports PA Medicaid programs, and this role will focus on support for pricing and other work related to the Medicaid Long-Term Services and Support and Medicaid Physical Health programs.

This role can be remote within the continental US.

Check out 10 Stand-Out Benefits that UPMC Employees Enjoy!

Responsibilities:

Licensure, Certifications, and Clearances:

Assist in the preparation of State and Federal filings.
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.
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.
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.
Experience working on Medicaid LTSS or any other Medicaid programs preferred.
Actively pursuing SOA certification.
Excellent problem-solving and analytical skills.
Good oral and written communication skills.
Strong PC skills.
Data retrieval skills and relational database experience.
Works independently.
Act 34