Behavioral Health Actuarial Analyst

2 weeks ago


Pittsburgh, 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 Plan's growing Actuary department is seeking two additional Analyst I's to assist with their Behavioral Health pricing and reserving 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.

Preferences:

* Prior working actuarial experience: internship or full-time
* At least one passed actuarial exam and working towards SOA credential
* Desire to learn and expand skillset as it relates to Behavioral Health
* Interest in pricing, reserving, trend/health economics, provider network analysis, risk adjustment

This role is HYBRID (2x in office a week); interested parties should be local to Pittsburgh, PA or willing to relocate.

Responsibilities:

* Document methods, procedures and results.
* Medical cost and utilization trend analysis.
* Assist senior actuarial positions in the development of mathematical models in connection with other departments to predict the impact of proposed changes.
* Completion factors using claim lag analysis models.
* Present results of analyses and recommendations to management.
* Development of claim reserves (IBNR).
* Forecasting.
* Provide analytical support for rate development and filings.
* Assist in the preparation of State and Federal filings.
* Assist in the preparation of financial analyses in support of the following functions:
* Provide ad hoc data analysis to all departments within the company.

Qualifications:

Requirements:

* Bachelor's degree in mathematics, statistics, actuarial science, economics or related field.
* Prior working actuarial experience: internship or full-time
* One or more actuarial examinations passed.
* Actively pursuing SOA certification.
* Able to work in Pittsburgh, PA

Preferences:

* Desire to learn and expand skillset as it relates to Behavioral Health
* Interest in pricing, reserving, trend/health economics, provider network analysis, risk adjustment
* Excellent problem solving and analytical skills.
* Good oral and written communication skills.
* Data retrieval skills and relational database experience.

Licensure, Certifications, and Clearances:

* Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran



  • Pittsburgh, United States UPMC 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, 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, United States UPMC Life Changing Medicine Full time

    We are UPMC, and we are changing health care for the better. With 96, employees, 40 hospitals, 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 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, 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, 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, United States Willis Towers Watson Full time

    The Role Candidates in any of the following locations will be considered: Brookfield, WI, Cincinnati, OH, Cleveland, OH, Columbus, OH, Detroit, MI, Indianapolis, IN, Minneapolis, MN, Pittsburgh, PA As a Healthcare Financial/Actuarial Associate Director you will be a key member of the Financial Actuarial & Analytics (FAA) Community of Expertise. You will...


  • Pittsburgh, United States UPMC Senior Communities Full time

    UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team! This 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, United States Goodwill Full time

    The Behavioral Health Advocate will provide counseling and advocacy services regarding all aspects of a participants life, including addressing the needs of their family. Areas of focus will include mental, social, physical, and behavioral health. T Behavioral Health, Behavioral, Advocate, Health, Clinical, Behavior, Retail, Healthcare


  • Pittsburgh, United States Allegheny Health Network Full time

    The Allegheny Health Network (AHN), Behavioral Health Institute is seeking a full-time Womens Behavioral Health Psychiatrist to provide psychiatric services. The Behavioral Health Institute is rapidly growing and seeking motivated individuals who want to be at the forefront of perinatal psychiatric care. Join a team passionate about womens health, with the...


  • Pittsburgh, United States Therapy Source Staffing Solutions Full time

    Providing monthly updates as well as quarterly progress reports for all students Providing consultation services with general education and special education teachers, other related services providers, and any other district staff as outlined in the Behavior, Board Certified, Assessment, Analyst, Part-Time, Behavioral, Staffing, Healthcare


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

    The full-time Behavioral Health Counselor (BHC) will be responsible for providing individual, family, and parent management treatment in an outpatient multidisciplinary program that targets children/youth with mental health issues and Problematic Sexual Behaviors (PSBs) and their families. This program provides treatment services for these three populations:...


  • Pittsburgh, United States UPMC Full time

    The full-time Behavioral Health Counselor (BHC) will be responsible for providing individual, family, and parent management treatment in an outpatient multidisciplinary program that targets children/youth with mental health issues and Problematic Sexual Behaviors (PSBs) and their families. This program provides treatment services for these three...


  • Pittsburgh, PA, United States Allegheny Health Network Full time

    The Allegheny Health Network (AHN), Behavioral Health Institute is seeking a full-time Womens Behavioral Health Psychiatrist to provide psychiatric services. The Behavioral Health Institute is rapidly growing and seeking motivated individuals who want to be at the forefront of perinatal psychiatric care. Join a team passionate about womens health, with...


  • Pittsburgh, United States East Liberty Family Health Care Center Full time

    As a Behavioral Health Therapist specializing in children and adolescents at ELFHCC, you play a crucial role in providing comprehensive mental health services to individuals within this age group. Your primary responsibility will be to assess, diagnose, and treat a wide range of behavioral and emotional issues affecting children and adolescents, utilizing...


  • Pittsburgh, United States East Liberty Family Health Care Center Full time

    Job DescriptionJob DescriptionAs a Behavioral Health Therapist specializing in children and adolescents at ELFHCC, you play a crucial role in providing comprehensive mental health services to individuals within this age group. Your primary responsibility will be to assess, diagnose, and treat a wide range of behavioral and emotional issues affecting children...


  • Pittsburgh, United States Southwood Hospital Full time

    Overview:Full-time/Weekend/Nights RN Behavioral Health: Weekend Night Shift: Fri - Sun 7p-7aWe're a PNAP friendly facility!Southwood Psychiatric Hospital provides comprehensive, age-appropriate care to children and adolescents whose lives have been impacted by a broad scope of emotional, behavioral, developmental, and cognitive challenges. We offer inpatient...