• Actuarial Analyst (Hybrid) - Medicare

    UPMC (Pittsburgh, PA)


    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 to contribute to it's Medicare group line of business. 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.

     

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

    We're looking for:

    - Prior working actuarial experience

     

    - At least one exam passed actuarial exam and working towards SOA credential

     

    - Proficient to expert in SQL and Excel

    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.

    + Bachelor's degree in mathematics, statistics, actuarial science, economics or related field.

    + 1 or more actuarial examinations passed.

    + Some experience in statistical analysis or actuarial work; 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.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran