Note: The job is a remote job and is open to candidates in USA. UPMC is a healthcare organization committed to improving the lives of patients and health plan members. The Actuarial Analyst III will perform healthcare actuarial and financial analyses supporting medical cost improvement and value-based programs, develop projections and recommendations, and present findings to leadership. The role may also supervise less experienced actuarial students and collaborate with cross-functional teams.
Responsibilities
- Produce detailed actuarial and financial models which communicate near and long-term projections of financial performance of new and ongoing value-based programs to facilitate corporate decision-making and the development of strategies and goals
- Analyze healthcare claims cost and utilization trends for use in projections defining savings methodologies for provider arrangements such as ACO & PCMH contracts, global capitation, bundled rates, episodic payments, capitation, risk adjusted total cost of care, and value-based payments
- Apply analytical and statistical software tools to summarize large healthcare data to glean findings and actionable insights
- Forecast and interpret financial results, including variances from budget, to help identify medical cost improvement opportunities and potential risks as an individual or leading other analysts
- Develop and gain support for data-based recommendations with team members from product, clinical, network, and strategy functions
- Produce well-documented standard actuarial reports and projects
- Present results of analyses and recommendations to leadership
- Apply an understanding of complex actuarial concepts, methods, and applications in a variety of situations
- Creatively leverage a wide range of datasets to inform key analyses
- Collaborate with team members, including other healthcare actuaries, to ensure that work product meets the highest standards of quality
- Build strong relationships with Actuarial, Analytics, Reimbursement, Clinical, and Finance teams across the enterprise
- Provide analytical support for ad hoc data analyses
Skills
- Bachelor's degree in mathematics, statistics, actuarial science, economics or related field
- 3-5 years of experience in actuarial work in a health insurance, managed care or related consulting business
- Actively pursuing the ASA and/or FSA certification by Society of Actuaries
- 4 or more actuarial examinations passed
- Excellent problem solving and analytical skills
- Excellent oral and written communication skills
- Strong PC skills, including experience in Microsoft Office Suite (Word, Excel, PowerPoint)
- Data retrieval skills and relational database experience required, including SQL and/or SAS
- Ability to work independently
- Completion of Validation by Education Experience (VEE) credits or comparable college-level courses on micro and macroeconomics, introductory corporate finance, and applied statistical methods
Benefits
- Support to reach professional designations through our comprehensive student program
- Work-from-home position located anywhere within the continental US
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