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UPMC Health Planis seeking anActuary in its Department of Health Economics! Thiscredentialedhealthcare actuarywoulddrivehigh-visibilityimpactfulanalysis and wouldberesponsible fordeveloping and driving medical cost improvement strategies.This includes analyzing medical costutilizationand unit cost data,identifyingtop trend drivers and affordability opportunities, and presenting findings to leadership.

TheActuarywillrequirea diverse set of skills and experience, includingdata and analyticsexpertise, broad-based business and health economics acumen,astrategic mindset, and an ability to influence andleveragecross-functional teams in a non-traditional actuarial environment.This position mayalsodirect or superviseless experiencedactuarialanalystsin the performance of duties.

As anActuaryat UPMC, you will be given supportforprofessional designations through our comprehensive student programand continuing educationopportunities.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:

• Lead the development of detailed actuarial and financialtoolsto communicate drivers of financial performance tofacilitatecorporate decision-making and the development ofcostmitigation strategies.

• Lead and support the implementation and ongoing maintenance of the HCG Grouper software, including comprehensive data validation, testing, and quality assurance activities to ensureaccurateand reliable results

• Support the enterprise-wide rollout of HCG Grouper data by creating documentation, providing user support, andfacilitatingknowledge transfer to business partners.

• Analyzeimpactsof healthcare affordability initiatives on medical cost andutilizationtrends.

• Apply analytical and statistical software tools to summarize large healthcare data to glean findings and actionable insightsand deliver results to leadership.

• Forecast and interpret financial results, including variances frombudget,to help identifymedical costimprovement opportunities and potential risks.

• Analyze trends in spending andutilizationusing healthcare claims data.

• Develop and gain support fordata-basedrecommendationswith team members from product, clinical, network, and strategy functions.

• Guidethe development ofwell-documented standard actuarial reports and projects.

• Present results of analyses and recommendations tomanagement and senior leaders.

• Apply an understanding of complex actuarial concepts, methods,and applications in a variety of situations.

• Creativelyleveragea wide range of datasets to inform key analyses.

• Provide directionand supervisionto less experienced staffin the performance of duties.May directly manage 1 analyst.

• Build strong relationships with Actuarial, Analytics, and Finance teams across the enterprise.

• Ensure that departmental work products meet the highest standards of quality.

• Provide analytical support for ad hoc data and analyses

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

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UPMC is an Equal Opportunity Employer/Disability/Veteran