UPMC Health Plan Actuary is seeking an Actuarial Analyst II to join their Pharmacy team!

　　This position applies knowledge of mathematics, probability, and statistics in order to identify issues, and gather and analyze data on a wide variety of topics affecting the financial performance of the health plan May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary. The Pharmacy Actuarial team supports the actuarial teams for each of the different lines of business. This allows our team to work on a variety of different projects and different products.

　　Preferences: Excel expertise, SQL, Medicare Part D experience, coding experience, pharmacy claims experience

　　This position will ideally be Hybrid, but remote work arrangements can be made for the perfect candidate. Apply today!

　　Responsibilities:

　　Medical cost and utilization trend analysis.

　　Provide ad hoc data analysis to all departments within the company.

　　Development of claim reserves (IBNR)

　　Provide analytical support for rate development and filings;

　　Assist in the preparation of financial analyses.

　　Assist in the preparation of State and Federal filings.

　　Present results of analyses and recommendations to management.

　　Forecasting.

　　Completion factors using claim lag analysis models;

　　Document methods, procedures and results.

　　Assist senior actuarial positions in the development of mathematical models in connection with other departments to predict the impact of proposed changes. Responsible for production of standard actuarial reports and projects as assigned.

　　Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and 2 years of experience in statistical analysis or actuarial work;

　　or equivalent training, education and/or experience in health care financing.

　　Excel expertise, SQL, Medicare Part D experience, coding experience, pharmacy claims experience

　　3 actuarial examinations passed or appropriate experience.

　　Actively pursuing SOA certification.

　　Excellent problem solving and analytical skills.

　　Good oral and written communication skills.

　　Strong PC skills.

　　Data retrieval skills and relational database experience.Works independently. Licensure, Certifications, and Clearances:

　　Act 34

　　UPMC is an Equal Opportunity Employer/Disability/Veteran