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Director, Medical Cost Economics

UPMC

Closed
Health/Insurer/Director Level

Director, Medical Cost Economics

UPMC

Pittsburgh, Pennsylvania, United States · Remote · 8mo ago

Closed
Salary
$179k - $216kest.
Experience
8+ Years

Role Summary

Director-level health actuarial role at UPMC Health Plan focused on medical cost economics. You will develop actuarial and financial models, identify medical cost drivers, and drive cross-functional cost improvement strategies. The role manages analysts, requires ASA/FSA and AAA membership, and is remote within the continental US with occasional travel to Pittsburgh.

Key Requirements

  • ASA or FSA certification required and American Academy of Actuaries membership
  • 8+ years of progressive actuarial work in health insurance, managed care, or consulting
  • Bachelor’s degree in math/stats/actuarial science/economics required
  • Data retrieval skills and relational database experience required
  • Experience with commercial and government health programs preferred

Skills & Domain

DomainValue-based reimbursementPopulation healthSegmentation/stratificationClaims developmentCommercial and government health programs