Actuarial Analyst II - Medicaid

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UPMC Health Plan's Medicaid/Government Product actuarial team is seeking an Actuarial Analyst II to support the team’s Medicaid program work.

This position applies knowledge of mathematics, probability and statistics to identify issues, and gather and analyze data on a wide variety of topics affecting the financial performance of the health plan. They may represent the department on corporate projects and receive assistance from either management or senior positions when necessary. The Medicaid Actuarial team supports PA Medicaid programs, and this role will focus on support for pricing and other work related to the Medicaid Long-Term Services and Support and Medicaid Physical Health programs.

This role can be remote within the continental US.

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Responsibilities:

• Assist in the preparation of State and Federal filings.
• 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.
• 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.