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Role Summary

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HIGHLIGHTS

Remote credentialed healthcare actuary role at UPMC Health Plan. Drive medical cost improvement strategies by analyzing utilization and cost data, leading development of financial tools, and presenting findings to leadership. Requires ASA or FSA certification and 5+ years of health insurance actuarial experience. Opportunity to supervise less experienced analysts and work cross-functionally.

JOB DESCRIPTION SUMMARY

  • Lead development of actuarial/financial tools for medical cost strategy
  • Analyze healthcare claims data for trend and utilization insights
  • Support HCG Grouper software implementation and rollout
  • Present findings and recommendations to senior leadership
  • Supervise less experienced analysts and may manage 1 direct report

DOMAIN EXPERTISE

  • Health insurance actuarial experience
  • Healthcare claims data analysis
  • Medical cost trend analysis
  • Experience with commercial and government health programs

KEY REQUIREMENTS

  • ASA or FSA certification by Society of Actuaries
  • 5+ years progressive actuarial work in health insurance/managed care
  • Bachelor's degree in mathematics, statistics, or related field
  • Strong analytical and communication skills
  • Experience with healthcare claims data and trend analysis

TECH STACK

  • Power_BI
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Role Summary

Loading...

HIGHLIGHTS

Remote credentialed healthcare actuary role at UPMC Health Plan. Drive medical cost improvement strategies by analyzing utilization and cost data, leading development of financial tools, and presenting findings to leadership. Requires ASA or FSA certification and 5+ years of health insurance actuarial experience. Opportunity to supervise less experienced analysts and work cross-functionally.

JOB DESCRIPTION SUMMARY

  • Lead development of actuarial/financial tools for medical cost strategy
  • Analyze healthcare claims data for trend and utilization insights
  • Support HCG Grouper software implementation and rollout
  • Present findings and recommendations to senior leadership
  • Supervise less experienced analysts and may manage 1 direct report

DOMAIN EXPERTISE

  • Health insurance actuarial experience
  • Healthcare claims data analysis
  • Medical cost trend analysis
  • Experience with commercial and government health programs

KEY REQUIREMENTS

  • ASA or FSA certification by Society of Actuaries
  • 5+ years progressive actuarial work in health insurance/managed care
  • Bachelor's degree in mathematics, statistics, or related field
  • Strong analytical and communication skills
  • Experience with healthcare claims data and trend analysis

TECH STACK

  • Power_BI

Actuary – Medical Cost Economics (Remote)

UPMC

Health/Insurer/Manager Level
UPMC

Actuary – Medical Cost Economics (Remote)

UPMC

Pittsburgh, Pennsylvania · Flexible · 1w ago

Health Other

Job Overview

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

Acturhire Base Salary Estimate

Typical range
$143k - $162k

25th and 75th percentiles

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

Ideal Candidate Profile

Ideal for a credentialed health actuary (ASA or FSA) with 5+ years in health insurance/managed care, skilled in healthcare claims analysis, trend analysis, and data visualization tools like Power BI. Comfortable presenting to leadership and working cross-functionally.

ASAFSA

Benefits

Study Support
Active Screening
Standard Review
13d
13 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

Job Overview

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

Acturhire Base Salary Estimate

Typical range
$143k - $162k

25th and 75th percentiles

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

Ideal Candidate Profile

Ideal for a credentialed health actuary (ASA or FSA) with 5+ years in health insurance/managed care, skilled in healthcare claims analysis, trend analysis, and data visualization tools like Power BI. Comfortable presenting to leadership and working cross-functionally.

ASAFSA

Benefits

Study Support
Active Screening
Standard Review
13d
13 days ago

Strategy: Apply This Week

Recruiters typically begin first-round screenings within 14 days.

"You are entering the second review batch. Optimize for ATS keywords."

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