Upmc
Pittsburgh, PA, USA
ACTUARY (Multiple Openings) –UPMC Health Plan in Pittsburgh, PA seeks multiple Actuaries to design and develop value-based contract project work, and determine the performance measures, associated benchmarks, and other contractual components. Analyze membership, risk score, claim and other available internal and external data, monitor emerging trends, and identify issues. Master’s degree, or equivalent, in Actuarial Science, Mathematics, Statistics, Economics, or related field plus two (2) years of actuarial experience in health insurance/managed care, actuarial consulting to health actuaries, or related experience: leading attribution and trumping logic for total cost of care based VBP contracts; developing annual targets and benchmarks based on internal and external data; developing risk scores, risk adjusted revenue and claim cost projections; leading deep-dive analyses and presenting findings and recommendations to senior management; working with and applying...