Actuary- Insurance Services Value Based Contracting (Remote, US)

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UPMC Health Plan has an exciting opportunity for an Actuary on their rockstar Value-Based Contracting 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.

Preferences:
• Working experience in SQL and Excel
• Experience with at least 2 actuarial rotations in the following fields: value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc
• FSA or ASA

This role can be remote anywhere within the US!

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 5+ 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

Licensure, Certifications, and Clearances:
A.S.A. or F.S.A. certification by Society of Actuaries Membership in the American Academy of Actuaries
• Act 34
• UPMC is an Equal Opportunity Employer/Disability/Veteran

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