Actuary - Medical Cost Initiatives (Remote)
RemoteCommercial Employer HealthMedicaidMedicare AdvantagePredictive Modelling & MLBusiness Intelligence & ReportingExperience Studies
Role Summary
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Health actuary role at UPMC Health Plan focused on medical cost initiatives and affordability programs. You will build actuarial and financial models, analyze cost and utilization trends, and present findings to senior leadership. Remote role tied to UPMC (Pittsburgh, PA). Senior-level position requiring ASA or FSA and healthcare actuarial experience.
JOB DESCRIPTION SUMMARY
- Drive medical cost improvement strategies and evaluate program outcomes
- Build actuarial and financial projection models for initiatives
- Analyze claims cost and utilization trends to define savings methodologies
- Use SQL and/or SAS to summarize large healthcare datasets
- Remote role with UPMC Health Plan (based in Pittsburgh, PA)
DOMAIN EXPERTISE
- Actuarial experience in health insurance or managed care
- Data retrieval and relational database experience including SQL and/or SAS
KEY REQUIREMENTS
- ASA or FSA certification required
- 5+ years actuarial experience in health insurance, managed care, or consulting
- Bachelor's degree in math, statistics, actuarial science, economics or related
- Relational database and data retrieval skills including SQL and/or SAS
TECH STACK
- No tech stack specified
