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   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

Description

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!

Responsibilities:

  • 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

 

Qualifications

  • 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

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   Current UPMC employees must apply in HR Direct