Job Description

Job Title: Manager Actuarial Services
Job ID: 647833
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: General Acctg_Fin Report
Location: 600 Grant St, Pittsburgh PA 15219

Description

Purpose:
Ensures that the Actuarial Department provides excellent services to various internal and external clients in the areas of pricing, reserving, forecasting, benefits and product development, provider relations/contracting, underwriting, and compliance. Responsible for supervising actuarial analysts. Presents to senior financial leadership team.

Responsibilities:
  • Directly manage Medicare Bid process, including direct communication with consultants, preparing presentations, providing all requested reports and pricing, responding to desk review queries, and working with other departments to file all bids in a timely manner
  • Manage other actuarial work as assigned such as CHIP filing, FEHBP filing, IBNR analysis/completion, report and analysis completion
  • Price, analyze, and assign annual premium increases/decreases to Medicare Employer Groups; includes communication with product development/ sales and the ability to explain pricing decisions to senior management
  • Provide actuarial support and requests for the annual CMS Financial Audits; communicate with auditors when needed
  • Supervise and develop actuarial staff to ensure that departmental objective and goals are achieved in a timely manner

Qualifications

  • Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required. 
  • Six and a half plus years of experience in progressively more responsible actuarial work in health insurance/managed care or equivalent training/education. 
  • Experience with commercial and/or government health programs preferred. 
  • In-depth understanding of health insurance market dynamics.
  • Excellent problem-solving and analytical skills.
  • Good oral and written communication skills.
  • Strong PC skills.
  • Data retrieval skills and relational database experience.
  • Management experience preferred.
  • FSA designation is preferred.

Licensure, Certifications, and Clearances:
4 or more preliminary exams and completed FAP modules while working towards credentialing or ASA/MAAA designation

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $49.20 to $84.81

Union Position: No

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