Role Summary

HIGHLIGHTS

Manager-level health actuarial role (Medical Cost Economics) at a health plan. Lead a small team to analyze medical and pharmacy cost, forecast financial results, and drive medical cost improvement strategies across product, clinical, and network functions. Requires ASA or FSA and ~6.5 years' health insurance experience. Remote within the continental US with occasional travel to Pittsburgh, PA.

JOB DESCRIPTION SUMMARY

Lead medical cost economics analyses and cost improvement strategies for a health plan
Manage a team of 2–4 actuarial analysts and oversee complex projects
Forecast financial results, analyze utilization and identify trend drivers
Remote role within continental US; infrequent travel to Pittsburgh (2–3x/year)
ASA or FSA required with 6.5 years’ progressive health actuarial experience

DOMAIN EXPERTISE

health insurance/managed care actuarial experience
medical and pharmacy claims analysis
medical cost utilization and unit cost analysis
forecasting financial results and variance analysis

KEY REQUIREMENTS

ASA or FSA certification by the Society of Actuaries required
Membership in the American Academy of Actuaries required
Bachelor’s degree in a quantitative field required
Minimum ~6.5 years of actuarial experience in health insurance/managed care
Data retrieval skills and relational database experience

TECH STACK

Excel
PowerPoint

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Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead medical cost economics analyses and cost improvement strategies for a health plan
Manage a team of 2–4 actuarial analysts and oversee complex projects
Forecast financial results, analyze utilization and identify trend drivers
Remote role within continental US; infrequent travel to Pittsburgh (2–3x/year)
ASA or FSA required with 6.5 years’ progressive health actuarial experience

DOMAIN EXPERTISE

health insurance/managed care actuarial experience
medical and pharmacy claims analysis
medical cost utilization and unit cost analysis
forecasting financial results and variance analysis

KEY REQUIREMENTS

ASA or FSA certification by the Society of Actuaries required
Membership in the American Academy of Actuaries required
Bachelor’s degree in a quantitative field required
Minimum ~6.5 years of actuarial experience in health insurance/managed care
Data retrieval skills and relational database experience

TECH STACK

Excel
PowerPoint

Role Summary

HIGHLIGHTS

JOB DESCRIPTION SUMMARY

Lead medical cost economics analyses and cost improvement strategies for a health plan
Manage a team of 2–4 actuarial analysts and oversee complex projects
Forecast financial results, analyze utilization and identify trend drivers
Remote role within continental US; infrequent travel to Pittsburgh (2–3x/year)
ASA or FSA required with 6.5 years’ progressive health actuarial experience