Job Description

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

This position provides data and analytical expertise to support actuarial services including trend analysis, financial projections, reporting and claim liability estimates. The analyst performs studies to support pricing and associated rate filings. This role develops actuarial models to support new products and provider payment arrangements.

Corporate Overview: University of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system.

Responsibilities

Essential Functions

• Analyzes and summarizes data by applying mathematical, statistical and financial knowledge related to unpaid claim liability, forecasting and premium analysis.
• Conducts trend analysis and studies including tracking of industry trends and benchmarks.
• Develops pricing and analysis for new product development.
• Analyzes risk profiles of populations using predictive modeling techniques on both a concurrent and prospective basis.
• Analyzes completed work for accuracy, reasonableness and actuarial soundness. Troubleshoot processes and resolve complex issues.
• Conducts competitive market research regarding plan offerings, pricing and market share.
• Assists in the preparation and evaluation of special actuarial projects.
• Analyzes large claims and the impact to financial results.

Knowledge / Skills / Abilities

• Ability to prioritize and manage multiple competing priorities.

• Demonstrated self-starter with minimal need for intervention or supervision.

• Excellent oral and written communication skills and the ability to appropriately adjust communication for the audience.

• Excellent problem-solving and analytical skills with the ability to think logically and perform analysis in a timely manner.

Qualifications

Required

• Bachelor’s Degree in Actuarial Science, Mathematics, Statistics, or similar background in quantitative analysis.

Qualifications (Preferred)

Preferred

• Knowledge of the Utah healthcare market preferred.
• One to two actuarial exams or equivalent experience.
• Master’s degree in a related field preferred.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position in an office setting that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Listening, Sitting, Speaking, Standing