Role Summary

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

Back to Search

Role Summary

HIGHLIGHTS

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

Role Summary

HIGHLIGHTS

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