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Role Summary

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HIGHLIGHTS

Health actuary role at UPMC Health Plan leading medical cost analysis and strategy development. You will analyze claims data, build financial tools, and present findings to leadership. ASA certification is required. The role is remote-eligible or hybrid in Pittsburgh, PA.

JOB DESCRIPTION SUMMARY

  • Lead medical cost trend analysis and cost mitigation strategies
  • Develop financial tools using claims data and HCG Grouper software
  • Present insights to senior leadership and cross-functional teams
  • Remote or hybrid work arrangement available
  • ASA required; supervise less experienced analysts

DOMAIN EXPERTISE

  • Health insurance/managed care
  • Medical cost trend analysis
  • Claims-based experience analysis
  • Population health analytics
  • Network and reimbursement analysis

KEY REQUIREMENTS

  • ASA certification by Society of Actuaries required
  • 5+ years of health insurance/managed care actuarial experience
  • Bachelor’s degree in math, stats, actuarial science, or related
  • Experience with claims data, trend analysis, and Power BI preferred
  • Eligible to work in the US without visa sponsorship implied

TECH STACK

  • Power_BI
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Role Summary

Loading...

HIGHLIGHTS

Health actuary role at UPMC Health Plan leading medical cost analysis and strategy development. You will analyze claims data, build financial tools, and present findings to leadership. ASA certification is required. The role is remote-eligible or hybrid in Pittsburgh, PA.

JOB DESCRIPTION SUMMARY

  • Lead medical cost trend analysis and cost mitigation strategies
  • Develop financial tools using claims data and HCG Grouper software
  • Present insights to senior leadership and cross-functional teams
  • Remote or hybrid work arrangement available
  • ASA required; supervise less experienced analysts

DOMAIN EXPERTISE

  • Health insurance/managed care
  • Medical cost trend analysis
  • Claims-based experience analysis
  • Population health analytics
  • Network and reimbursement analysis

KEY REQUIREMENTS

  • ASA certification by Society of Actuaries required
  • 5+ years of health insurance/managed care actuarial experience
  • Bachelor’s degree in math, stats, actuarial science, or related
  • Experience with claims data, trend analysis, and Power BI preferred
  • Eligible to work in the US without visa sponsorship implied

TECH STACK

  • Power_BI

Actuary – Medical Cost Economics (Remote)

UPMC

Health/Insurer/Manager Level
UPMC

Actuary – Medical Cost Economics (Remote)

UPMC
Pittsburgh, Pennsylvania, United States•2h ago
FlexibleCommercial Employer HealthMedicare AdvantageMedicaid

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Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$143k - $153k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA or FSA with 5+ years of health insurance actuarial experience, skilled in medical cost trend analysis and claims data, and comfortable with Power BI and HCG data.

ASAFSA

Benefits

Study SupportRemote FirstHybrid Work
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
Salary not specified
Years of Experience
5+ Years
Work Type
Permanent
Full Time

Acturhire Base Salary Estimate

Typical range
$143k - $153k

25th and 75th percentiles

Confidence
95/100
Supporting jobs
140comparable jobs
Unlock full breakdown with Pro

Ideal Candidate Profile

Ideal for an ASA or FSA with 5+ years of health insurance actuarial experience, skilled in medical cost trend analysis and claims data, and comfortable with Power BI and HCG data.

ASAFSA

Benefits

Study SupportRemote FirstHybrid Work
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."