• Actuarial Analyst II - Reserving (Hybrid)

    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 Reserving actuarial team is seeking an Actuarial Analyst II. This role is hybrid and will require candidates reside in the Pittsburgh area or be willing to relocate.

     

    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.

    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.

    + 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.

    + Reserving experience is a bonus.

    + Actively pursuing SOA certification.

    + Excellent problem solving and analytical skills.

    + Good oral and written communication skills.

    + Strong technical skills.

    + Data retrieval skills and relational database experience.

    + Works independently.Licensure, Certifications, and Clearances:UPMC is an Equal Opportunity Employer/Disability/Veteran