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Across UPMC, our guiding principle is to always prioritize the safety of our employees, patients, and members. UPMC believes that vaccination is important, helps protect all, and advocates that everyone who can be vaccinated should be vaccinated.

UPMC complies with all governmental requirements related to local, state, and federal COVID-19 vaccination for employment. The Jan. 13 Supreme Court of the United States decision that the Centers for Medicare & Medicaid Services federal COVID-19 vaccine mandate will move forward requires UPMC to ensure employees either get vaccinated or receive a requested medical or religious exemption.

If you are not yet vaccinated, we urge you to get a vaccine now. You can schedule your COVID-19 vaccination through UPMC or visit a non-UPMC provider or UPMC Urgent Care location.

Proof of vaccination is not required upon hire; however, employees will be responsible for ensuring post-hire compliance by getting vaccinated or requesting a medical or religious exemption.

For more information about UPMC’s response to COVID-19, please visit UPMC.com/coronavirus.

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   Current UPMC employees must apply in HR Direct

Actuarial Analyst II- Medical Cost Economics (Remote)

Description

UPMC Health Plan is hiring an Actuarial Analyst II in its Department of Health Economics. The position will support high-visibility impactful analysis around medical cost improvement strategies. This includes analyzing medical cost utilization and unit cost data, identifying top trend drivers and affordability opportunities, and evaluating program and initiative outcomes. 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 with support from senior positions within the department.

As an actuarial analyst at UPMC, you will be given support to reach professional designations through our comprehensive student program. This position is eligible for fully remote work or a hybrid work arrangement for candidates based in Pittsburgh, PA. Career Ladder

 Responsibilities:

  • Develop models of near and long-term projections of financial performance of new and ongoing initiatives and clinical programs to facilitate corporate decision-making and the development of strategies and goals.
  • Analyze impacts of healthcare affordability initiatives on medical cost and utilization trends.
  • Assist senior actuarial positions in developing forecasted financial, economic, and other data to support business decision making.
  • Apply an understanding of complex actuarial concepts, methods, and applications in various situations.
  • Creatively leverage a wide range of datasets to inform key analyses.
  • Produce well-documented standard actuarial reports and projects.
  • Present results of analyses and recommendations to technical and non-technical audiences.

 

Qualifications

  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field
  • 2 years of experience in statistical analysis or actuarial work; or equivalent training, education and/or experience in health care financing.
  • Completion of college-level courses on micro and macroeconomics, introductory corporate finance, and applied statistical methods are preferred.
  • 3 actuarial examinations passed or appropriate experience.
  • 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.
  • SQL and/or SAS is highly preferred
  • Works independently.

Licensure, Certifications, and Clearances:

UPMC is an Equal Opportunity Employer/Disability/Veteran

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   Current UPMC employees must apply in HR Direct

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