Actuarial Analyst III- Value-based Contracting
3.
5 Full-time 13 hours ago Full Job Description Description Shape the world of health care by joining UPMC! As a leader in the industry, we are committed to enhancing the lives of all who are a part of our community.
Without our employees, we would not be able to innovate health care for our patients and health plan members.
From hospitals to our corporate office, all UPMC employees impact our mission of creating life-changing medicine.
To continue our tradition of excellence, we are in search of a full-time Actuarial Analyst III to join this community as well.
Click here to learn more about UPMC Health Plan! UPMC Health Plan is seeking an Actuarial Analyst III to join its 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.
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.
Preferences:
SQL, excel, completed at least 2 actuarial rotations in the following experience fields (value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc
Responsibilities:
May direct or supervise junior actuarial department personnel in the performance of duties.
Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
Preparation of State and Federal filings.
Presents results of analyses and recommendations to management.
Documents methods, procedures and results.
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.
Qualifications Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and 3-5 years of experience in actuarial work in a health insurance, managed care or related consulting business.
SQL, excel, completed at least 2 actuarial rotations in the following experience fields value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc Excellent problem solving and analytical skills.
our actuarial examinations passed or appropriate experience.
Pursuing S.
O.
A.
certification.
Good oral and written communication skills.
Strong PC skills.
Data retrieval skills and relational database experience.
Works independently.
Licensure, Certifications, and Clearances:
Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran.
Estimated Salary: $20 to $28 per hour based on qualifications.
5 Full-time 13 hours ago Full Job Description Description Shape the world of health care by joining UPMC! As a leader in the industry, we are committed to enhancing the lives of all who are a part of our community.
Without our employees, we would not be able to innovate health care for our patients and health plan members.
From hospitals to our corporate office, all UPMC employees impact our mission of creating life-changing medicine.
To continue our tradition of excellence, we are in search of a full-time Actuarial Analyst III to join this community as well.
Click here to learn more about UPMC Health Plan! UPMC Health Plan is seeking an Actuarial Analyst III to join its 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.
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.
Preferences:
SQL, excel, completed at least 2 actuarial rotations in the following experience fields (value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc
Responsibilities:
May direct or supervise junior actuarial department personnel in the performance of duties.
Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
Preparation of State and Federal filings.
Presents results of analyses and recommendations to management.
Documents methods, procedures and results.
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.
Qualifications Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and 3-5 years of experience in actuarial work in a health insurance, managed care or related consulting business.
SQL, excel, completed at least 2 actuarial rotations in the following experience fields value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment, etc Excellent problem solving and analytical skills.
our actuarial examinations passed or appropriate experience.
Pursuing S.
O.
A.
certification.
Good oral and written communication skills.
Strong PC skills.
Data retrieval skills and relational database experience.
Works independently.
Licensure, Certifications, and Clearances:
Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran.
Estimated Salary: $20 to $28 per hour based on qualifications.
|
|
 | |
