[Hiring] Actuary @UPMC

Role Description

UPMC Health Plan is seeking an Actuary in its Department of Health Economics. This credentialed healthcare actuary would drive high-visibility impactful analysis and would be responsible for developing and driving medical cost improvement strategies. This includes:

• Analyzing medical cost utilization and unit cost data
• Identifying top trend drivers and affordability opportunities
• Presenting findings to leadership

The Actuary will require a diverse set of skills and experience, including:

• Data and analytics expertise
• Broad-based business and health economics acumen
• A strategic mindset
• An ability to influence and leverage cross-functional teams in a non-traditional actuarial environment

This position may also direct or supervise less experienced actuarial analysts in the performance of duties.

As an Actuary at UPMC, you will be given support for professional designations through our comprehensive student program and continuing education opportunities. Our team members can choose a work style that is best for them - this position is eligible for fully remote work or a hybrid work arrangement for candidates based in Pittsburgh, PA.

Responsibilities include:

• Leading the development of detailed actuarial and financial tools to communicate drivers of financial performance
• Supporting the implementation and ongoing maintenance of the HCG Grouper software
• Creating documentation and providing user support for the enterprise-wide rollout of HCG Grouper data
• Analyzing impacts of healthcare affordability initiatives on medical cost and utilization trends
• Applying analytical and statistical software tools to summarize large healthcare data
• Forecasting and interpreting financial results, including variances from budget
• Analyzing trends in spending and utilization using healthcare claims data
• Developing data-based recommendations with team members from various functions
• Guiding the development of well-documented standard actuarial reports and projects
• Presenting results of analyses and recommendations to management and senior leaders
• Applying an understanding of complex actuarial concepts in various situations
• Creatively leveraging a wide range of datasets to inform key analyses
• Providing direction and supervision to less experienced staff
• Building strong relationships with Actuarial, Analytics, and Finance teams across the enterprise
• Ensuring that departmental work products meet the highest standards of quality
• Providing analytical support for ad hoc data and analyses

Qualifications

• Bachelor's degree in mathematics, statistics, actuarial science, economics, or related field required
• ASA certification by Society of Actuaries required
• Experience in any of the following is a strong preference:
  • Milliman HCG data
  • Power BI
  • Claims-based experience analysis
  • Trend analysis
  • Population health
  • Network and reimbursement analysis
• 5 years of experience in progressively more responsible actuarial work in health insurance/managed care/consulting or equivalent education
• Experience with commercial and government health programs is preferred
• In-depth understanding of health insurance market dynamics
• Excellent problem-solving and analytical skills
• Excellent oral and written communication skills
• Adaptability and ability to prioritize effectively

Requirements

• A.S.A. or F.S.A. certification by Society of Actuaries
• Membership in the American Academy of Actuaries
• Act 34

Company Description

UPMC is an Equal Opportunity Employer/Disability/Veteran.