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   Current UPMC employees must apply in HR Direct

Value Based Contracting Actuary Analyst IV (REMOTE, US)

Description

UPMC Health Plan is seeking a Value Based Contracting Analyst IV to join their team!


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 May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary.

This position can be based remotely anywhere within the continental US. Apply today!

Responsibilities:

 

  • Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
  • Reports to head of actuarial department or Actuarial Manager.
  • Presents results of analyses and recommendations to management.
  • Documents methods, procedures and results.
  • Preparation of State and Federal filings. Including Federal Exchange, Pennsylvania Insurance Department Filings and Medicare Bid Submissions.
  • Will own project management of projects, including deliverables and appropriate work.
  • Will direct and supervise junior actuarial department personnel in the performance of duties.
  • Responsible for the preparation of financial analyses in support of the following functions: Medical cost and utilization trend analysis; Forecasting; - Development of claim reserves (IBNR) - Completion factors using claim lag analysis models; - Provide analytical support for rate development and filings; - Provide ad hoc data analysis to all departments within the company.- Review of other's work product.

 

Qualifications

  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field
    • and three plus (3+) years of experience in actuarial work in health insurance, managed care or related consulting business;
    • or equivalent training, education and/or experience.
  • Excellent problem-solving and analytical skills. ASA certification Good oral and written communication skills.
  • Data retrieval skills and relational database experience.


Licensure, Certifications, and Clearances:
A.S.A. certification by Society of Actuaries Membership in the American Academy of Actuaries
 

  • Associate of the Society of the Actuaries Certificate
  • Act 34

  • 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