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Role Summary

Role type

Specialist in a health plan organization

Closer to a carrier specialist than a data-science crossover role because actuarial judgment and health economics strategy matter more than ML or data engineering.

Senior Health actuary role in UPMC Health Plan’s Health Economics department, focused on commercial and government healthcare cost insights. You’ll lead claims-based trend and utilization analyses, develop financial tools, identify affordability opportunities, and present recommendations to leadership. The role is fully remote in the US, with a hybrid option for candidates based in Pittsburgh, PA.

Requirements

Must have

  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field
  • Data retrieval skills and relational database experience, including SQL and/or SAS

Strongly preferred

  • 7+ years of actuarial work in health insurance, managed care or related consulting
  • Experience with Power BI, claims-based analysis, trend analysis, population health, network and reimbursement analysis
  • In-depth understanding of health insurance market dynamics
  • Excellent problem solving and analytical skills
  • Excellent oral and written communication skills
  • Strong PC skills
  • Adaptability and ability to prioritize effectively
  • ASA or FSA certification by Society of Actuaries
  • Membership in the American Academy of Actuaries

Nice to have

  • Experience with commercial and government health programs
  • Data visualization experience

Skills & Domain

ToolsPower_BI
DomainHealth insurance actuarial analysisMedical cost trend analysisClaims-based experience analysisNetwork and reimbursement analysisPopulation health analytics

Actuary Specialist - Actuarial Cost Insights (Remote)

UPMC

Health/Insurer/Manager Level
UPMC

Actuary Specialist - Actuarial Cost Insights (Remote)

UPMC

United States · Flexible · Today

Commercial Employer HealthMedicare Advantage
Salary
$165k - $220kest.
Experience
7+ Years

Job Overview

Salary
Salary not specified
Experience
7+ Years

Acturhire Base Salary Estimate

Typical range
$165k - $220k

25th and 75th percentiles

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

Ideal Candidate Profile

Ideal for a Senior Health actuary with ASA or FSA and 7+ years in health insurance, managed care, or related consulting. The strongest fit combines claims and trend analysis with SQL/SAS skills, strategic judgment, and confidence presenting to senior leaders.

ASAFSA

Benefits

Study SupportRemote First

Exam support

Mentioned, but no specifics published

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