Actuarial Analyst III- Behavioral Health Pricing

2 weeks ago


Pittsburgh, Pennsylvania, United States UPMC Senior Communities Full time
We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you.

UPMC Health Plan's Medicaid/Government Product actuarial team is seeking an Actuarial Analyst III to support the team's Behavioral Health 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. May represent the department on corporate projects. Receives assistance from either management or senior positions when necessary. The Medicaid actuarial team supports PA Medicaid products and this role will focus on support for pricing and reporting for Behavioral Health.

This role can be remote within the continental US.

10 Stand-Out Benefits that UPMC Employees Enjoy

Responsibilities:
  • May direct or supervise junior actuarial department personnel in the performance of duties.
  • Responsible for the development of mathematical models in connection with other departments to predict the impact of proposed changes.
  • Preparation of State and Federal filings.
  • Presents results of analyses and recommendations to management.
  • Documents methods, procedures and results.
  • 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.
Qualifications:
  • Bachelor's degree in mathematics, statistics, actuarial science, economics or related field and
    • 3-5 years of experience in actuarial work in a health insurance, managed care or related consulting business.
  • Pursuing S.O.A. certification
  • Experience working in a BH-MCO preferred.
  • Excellent problem solving and analytical skills. Four actuarial examinations passed or appropriate experience.
  • 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

#LI-ISD

  • Pittsburgh, Pennsylvania, United States UPMC Senior Communities Full time

    We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you.UPMC Health...


  • Pittsburgh, Pennsylvania, United States UPMC Senior Communities Full time

    We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you.UPMC Health...


  • Pittsburgh, Pennsylvania, United States University of Pittsburgh Medical Center Full time

    We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day.Whoever you are and whatever you'd like to do, UPMC has a place for you.UPMC Health...

  • Actuarial Analyst

    4 weeks ago


    Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Company :Highmark Inc.Job Description : JOB SUMMARY*** This is a hybrid position, and will require you to work onsite 3 days a week at either our Camphill, PA, Pittsburgh, PA or Buffalo, NY locations.This job is an entry-level actuarial position. Participates in Highmark's Actuarial Executive Development Program and is expected to make continued progress...

  • Actuarial Analyst

    2 weeks ago


    Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Company :Highmark Inc.Job Description : JOB SUMMARY*** This is a hybrid position, and will require you to work onsite 3 days a week at either our Camphill, PA, Pittsburgh, PA or Buffalo, NY locations.This job is an entry-level actuarial position. Participates in Highmark's Actuarial Executive Development Program and is expected to make continued progress...


  • Pittsburgh, Pennsylvania, United States UPMC Senior Communities Full time

    We are UPMC, and we are changing health care for the better. With 96,000 employees, 40 hospitals, 800 doctors' offices and outpatient sites, and a more than 4 million-member Insurance Services Division, we all have one mission: to provide Life Changing Medicine, every day. Whoever you are and whatever you'd like to do, UPMC has a place for you. UPMC Health...


  • Pittsburgh, Pennsylvania, United States tapwage Full time

    UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting TeamThis 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. Ensure timely and accurate...


  • Pittsburgh, Pennsylvania, United States tapwage Full time

    UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting TeamThis 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. Ensure timely and accurate...

  • Data Analyst III

    2 days ago


    Pittsburgh, Pennsylvania, United States University of Pittsburgh Full time

    Data Analyst IIIAbout the Job: We are looking for a highly skilled Data Analyst III to join our team. As a Data Analyst, you will play a key role in evaluating business requirements, performing advanced data integration, and analysis. You will be responsible for developing advanced analytical and reporting tools utilizing multiple sources of integrated data,...

  • Pricing Analyst I

    4 weeks ago


    Pittsburgh, Pennsylvania, United States Thermo Fisher Scientific Full time

    Job DescriptionHow will you make an impact?Are you an analytical problem solver who likes a fast-paced environment that strives for excellence in satisfying customer's needs? An exciting opportunity awaits for you to join the Encompass Third Party Team as a Pricing Analyst I In addition to being a member of the Encompass Pricing Team the successful applicant...

  • Pricing Analyst I

    2 weeks ago


    Pittsburgh, Pennsylvania, United States ThermoFisher Scientific Full time

    Work Schedule OtherEnvironmental Conditions OfficeJob Description How will you make an impact?Are you an analytical problem solver who likes a fast-paced environment that strives for excellence in satisfying customer's needs? An exciting opportunity awaits for you to join the Encompass Third Party Team as a Pricing Analyst I In addition to being a member of...


  • Pittsburgh, Pennsylvania, United States Nrg Bluewater Wind Full time

    Press Tab to Move to Skip to Content LinkSelect how often (in days) to receive an alert:Pittsburgh, PA, US, 15222 Houston, TX, US, 77002Company:NRGWelcome to the intersection of energy and home services. At NRG, we're all about propelling the next generation of leaders forward. We are driven by our passion to create a smarter, cleaner and more connected...


  • Pittsburgh, Pennsylvania, United States NRG Full time

    Welcome to the intersection of energy and home services. At NRG, we're all about propelling the next generation of leaders forward. We are driven by our passion to create a smarter, cleaner and more connected future. We deliver innovative solutions that make our customers' lives easier-helping them power, protect, and intelligently manage their homes and...


  • Pittsburgh, Pennsylvania, United States Building Connections Behavioral Health Full time

    We are looking to fill multiple positions in the Bay Point/Pittsburg/Oakley/Antioch areas. Must have in-person availability on weekdays from 8 am - 6 pm. Current RBTs and history working with children preferred.Do you have a passion for working with children? Are you looking for a rewarding career with endless growth opportunities? Are you ready to feel...


  • Pittsburgh, Pennsylvania, United States Familylinks Full time

    For more than six decades, Familylinks has been dedicated to serving the diverse individuals and families of Western Pennsylvania. In the past year alone, we extended our care to over 9,000 people spanning all age groups, residing in various neighborhoods, representing different income levels, and holding diverse beliefs. Our mission is to positively impact...

  • Tax Analyst III

    2 days ago


    Pittsburgh, Pennsylvania, United States Thermo Fisher Scientific Full time

    Job Description Tax Analyst III Location: Pittsburgh Band: 6 Position Summary: The Tax Analyst is responsible for various aspects of federal, state, and local income and franchise tax compliance and reporting for Thermo Fisher Scientific and its affiliated companies. Key Responsibilities: Federal, State, and Local Tax Compliance Preparation of federal,...


  • Pittsburgh, Pennsylvania, United States Soliant Full time

    Job DescriptionJob DescriptionMinimum 1+ years Behavior Specialist experience required.We are seeking a highly skilled and dedicatedBoard Certified Behavior Analyst (BCBA)to work in a fantastic school district in Pittsburgh, Pennsylvania for the summer school yearQualifications:Requires a masters degree in one of the following: School/Educational Psychology,...


  • Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Company: Allegheny Health NetworkJob Title: Clinical Behavioral Health ConsultantJob Description: This opportunity involves working in a Residency Clinic setting with a focus on offering direct patient care while also providing education to Providers in the field of Behavioral Health.Overview: A Clinical Behavioral Health Consultant plays a key role in the...


  • Pittsburgh, Pennsylvania, United States Highmark Health Full time

    Company :Allegheny Health NetworkJob Description :This position is located in a Residency Clinic setting with the responsibilities of providing direct patient care along with Provider education in the areas of Behavioral Health.GENERAL OVERVIEW:A BHC is a member of the core healthcare team who assists the care managers in managing overall health of their...


  • Pittsburgh, Pennsylvania, United States Henderson Brothers Inc Full time

    POSITION SNAPSHOTTitle: Financial Analyst Department: Group Benefits Location: Pittsburgh, PA Responsibilities: Gather and interpret health data, assist in financial projection analysis, continue education Compensation: competitive & guaranteed base salary + bonus opportunities, comprehensive benefits, sizable time-off allotment, 4% 401(k) company match...