At UPMC, we are committed to keeping our communities safe and healthy as the COVID-19 pandemic unfolds.

Our recruiters will continue to fill positions throughout this time, but interviews and other processes may be modified to protect the safety of our candidates and employees. Thank you for your patience.

For more information about UPMC's response to COVID-19, please visit

Search Our Jobs

   Current UPMC employees must apply in HR Direct

Manager, Medicare Actuarial Services

  • Job ID: 888082917
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours:
  • Shift: Day Job
  • Facility: UPMC Health Plan
  • Department: Actuarial
  • Location: Work From Home
  • Union Position: No
  • Salary Range: $53.91 to $92.92 / hour


Do you enjoy designing creative ways to reduce the likelihood of undesirable events or decreasing the impact of undesirable events that do occur? Are you passionate about evaluating the likelihood of future events by using numbers?

UPMC Health Plan is hiring a full-time Manager to help support the Actuarial Department for its downtown Pittsburgh location at the US Steel Tower. This is a Monday through Friday daylight position with the option for working remotely.

Learn more about UPMC's Insurance Services as well as how we've been recognized!


  • Manage other actuarial work as assigned such as CHIP filing, FEHBP filing, IBNR analysis/completion, report and analysis completion
  • Provide actuarial support and requests for the annual CMS Financial Audits; communicate with auditors when needed
  • 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
  • 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



  • Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required.
  • Six and a half  (6.5+) 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 skillsGood oral and written communication skills
  • Data retrieval skills and relational database experienceManagement experience 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/Disability/Veteran

Total Rewards

More than just competitive pay and benefits, UPMC’s Total Rewards package cares for you in all areas of life — because we believe that you’re at your best when receiving the support you need: professional, personal, financial, and more.

Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct