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Role Summary

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HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead development of actuarial and financial models to evaluate medical cost initiatives
  • Drive medical cost improvement strategies across clinical, network, and finance teams
  • Manage one or more analysts and partner with senior Health Plan leadership
  • Remote role (continental US) with travel to Pittsburgh 2–3 times per year
  • Requires ASA or FSA and membership in the American Academy of Actuaries

DOMAIN EXPERTISE

  • Value-based reimbursement
  • Population health
  • Segmentation/stratification
  • Claims development
  • Commercial and government health programs

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

TECH STACK

  • No tech stack specified
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Role Summary

Loading...

HIGHLIGHTS

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.

JOB DESCRIPTION SUMMARY

  • Lead development of actuarial and financial models to evaluate medical cost initiatives
  • Drive medical cost improvement strategies across clinical, network, and finance teams
  • Manage one or more analysts and partner with senior Health Plan leadership
  • Remote role (continental US) with travel to Pittsburgh 2–3 times per year
  • Requires ASA or FSA and membership in the American Academy of Actuaries

DOMAIN EXPERTISE

  • Value-based reimbursement
  • Population health
  • Segmentation/stratification
  • Claims development
  • Commercial and government health programs

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

TECH STACK

  • No tech stack specified

Job Overview

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

Ideal Candidate Profile

An experienced health actuary (Director level) with ASA/FSA and 8+ years in health plan or consulting, skilled in cost modeling, population health analytics, and influencing cross-functional teams.

ASAFSA

Benefits

Active Screening
Standard Review
6d
6 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
8+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

An experienced health actuary (Director level) with ASA/FSA and 8+ years in health plan or consulting, skilled in cost modeling, population health analytics, and influencing cross-functional teams.

ASAFSA

Benefits

Active Screening
Standard Review
6d
6 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."

Health/Insurer/Director Level
U

Director, Medical Cost Economics

UPMC•Pittsburgh, Pennsylvania, United States•6d ago
RemoteCommercial Employer HealthMedicaidMedicare AdvantageProduct Development & Plan DesignPredictive Modelling & MLBusiness Intelligence & Reporting

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