What are the responsibilities and job description for the Actuarial Analyst IV- Reserve Team position at UPMC?
Description
UPMC Health Plan's Actuary Department is seeking a Actuary Anayst IV to support their Reserve Team!
This position applies knowledge of mathematics, probability and statistics in order to identify issues, 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.
Experience with the following is a strong preference: Reserving Concepts, IBNR, Completion Factor, Trends with regards to health care/ health insurance specifically.
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Responsibilities:
- Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
- Reports to head of actuarial department or Actuarial Manager.
- Presents results of analyses and recommendations to management.
- Documents methods, procedures and results.
- Preparation of State and Federal filings. Including Federal Exchange, Pennsylvania Insurance Department Filings and Medicare Bid Submissions.
- Will own project management of projects, including deliverables and appropriate work.
- Will direct and supervise junior actuarial department personnel in the performance of duties.
- Responsible for the preparation of financial analyses in support of the following functions: Medical cost and utilization trend analysis; Forecasting; - Development of claim reserves (IBNR) - Completion factors using claim lag analysis models; - Provide analytical support for rate development and filings; - Provide ad hoc data analysis to all departments within the company.- Review of other's work product.
Qualifications
- Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and three plus (3 ) years of experience in actuarial work in a health insurance, managed care or related consulting business; or equivalent training, education and/or experience.
- ASA certification
- Excellent problem solving and analytical skills.
- Data retrieval skills and relational database experience.
Licensure, Certifications, and Clearances:
A.S.A. certification by Society of Actuaries Membership in the American Academy of Actuaries
- Associate of the Society of the Actuaries Certificate
- Act 34
- UPMC is an Equal Opportunity Employer/Disability/Veteran
Salary : $41 - $70