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Role Summary

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HIGHLIGHTS

Health plan actuarial role focused on medical cost initiatives at UPMC. You'll lead development of financial models, evaluate program outcomes, and analyze cost/trend drivers to generate actionable insights. This is a high-visibility, cross-functional role that requires an ASA or FSA with 5+ years of health actuarial experience. Remote work is available.

JOB DESCRIPTION SUMMARY

Lead medical cost improvement strategy and initiative evaluation
Develop actuarial/financial models for near- and long-term projections
Analyze healthcare claims, utilization trends, and program savings
Manage 1-2 analysts and collaborate with Clinical, Network, Finance teams
Remote role; strong preference for SQL/SAS data skills

DOMAIN EXPERTISE

Evaluation of medical cost and utilization savings initiatives
Trend analysis and population health
Utilization management / care management analysis

KEY REQUIREMENTS

ASA or FSA certification by Society of Actuaries
5+ years of health insurance managed care actuarial experience
Experience evaluating medical cost/utilization savings initiatives
SQL and/or SAS data retrieval skills
Eligible to work in the US without sponsorship

TECH STACK

Excel
PowerPoint

Salary Pro Post a Job

Log in

Role Summary

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HIGHLIGHTS

Health plan actuarial role focused on medical cost initiatives at UPMC. You'll lead development of financial models, evaluate program outcomes, and analyze cost/trend drivers to generate actionable insights. This is a high-visibility, cross-functional role that requires an ASA or FSA with 5+ years of health actuarial experience. Remote work is available.

JOB DESCRIPTION SUMMARY

Lead medical cost improvement strategy and initiative evaluation
Develop actuarial/financial models for near- and long-term projections
Analyze healthcare claims, utilization trends, and program savings
Manage 1-2 analysts and collaborate with Clinical, Network, Finance teams
Remote role; strong preference for SQL/SAS data skills

DOMAIN EXPERTISE

Evaluation of medical cost and utilization savings initiatives
Trend analysis and population health
Utilization management / care management analysis

KEY REQUIREMENTS

ASA or FSA certification by Society of Actuaries
5+ years of health insurance managed care actuarial experience
Experience evaluating medical cost/utilization savings initiatives
SQL and/or SAS data retrieval skills
Eligible to work in the US without sponsorship

TECH STACK

Excel
PowerPoint

Job Overview

Salary

Salary not specified

Years of Experience

5+ Years

Work Type

Permanent

Full Time

Ideal Candidate Profile

Ideal for a credentialed health actuary (ASA/FSA) with 5+ years of health plan consulting experience who enjoys leading medical cost initiatives, building cross-functional relationships, and using data to drive strategy.

ASAFSA

Benefits

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

Ideal Candidate Profile

Ideal for a credentialed health actuary (ASA/FSA) with 5+ years of health plan consulting experience who enjoys leading medical cost initiatives, building cross-functional relationships, and using data to drive strategy.

ASAFSA

Benefits

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."

Health/Insurer/Manager Level

Actuary - Medical Cost Initiatives (Remote)

UPMC•Pittsburgh, Pennsylvania, United States•1h ago

RemoteMedicare AdvantageMedicaidCommercial Employer HealthPricing & RatingExperience StudiesPredictive Modelling & ML

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