Actuarial Analyst III- Behavioral Health Pricing (Medicaid) , Remote US
Job ID: 5690112072
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Health Plan
Department: Actuarial
Location: 600 Grant St, Pittsburgh, PA
Union Position: No
Salary Range: $ 39.47-66.8 USD
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 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
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CAREER GROWTH
Grow Your Nursing Career
Spanning over 20 clinical specialties and more than 50 unique nursing roles, every nurse at UPMC can achieve and advance their goals with the My Nursing Career Ladder. Whether you’re looking to progress to an elevated role or continue your education, UPMC equips nurses with the resources, feedback, leadership, and benefits to help you succeed and achieve your career goals. Here’s how a few nurses have grown their careers through the years at UPMC:
Clyde C.
As a Professional Staff Nurse, Expert at UPMC Muncy, Clyde is a great example of someone who has taken advantage of UPMC’s My Nursing Career Ladder to grow his career while remaining in the same hospital location.
Clyde’s Career Journey:
⦁ 2017: Professional Staff Nurse – UPMC Muncy
⦁ 2021: Sr. Professional Staff Nurse – UPMC Muncy
⦁ 2022: Sr. Professional Staff Nurse II – UPMC Muncy
⦁ 2022-present: Professional Staff Nurse, Expert – UPMC Muncy
Michelle B.
In her current role as a Professional Staff Nurse, Expert at UPMC Presbyterian, Michelle cares for patients with chronic and ongoing health issues as part of a Medical-Surgical unit. Michelle enjoys the daily change that Med-Surg nursing brings, and has found a career path that is interesting, meaningful, and full of opportunity.
Michelle’s Career Journey:
⦁ 2019: Staff Nurse – UPMC Presbyterian
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian
⦁ 2021: Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2021: Sr. Professional Staff Nurse, BSN – UPMC Presbyterian
⦁ 2022: Sr. Professional Staff Nurse II, BSN – UPMC Presbyterian
⦁ 2023: Professional Staff Nurse, BSN, Expert – UPMC Presbyterian
Born in Syria, Jouli H. had a childhood dream of becoming a nurse. After moving to the United States and initially pursuing a different career, Jouli decided to return to school when she turned 30, returning to the hope and dream she had as a little girl. After attending UPMC Mercy School of Nursing, Jouli has continued her UPMC career journey, even becoming a mother along the way.
Jouli’s Career Journey:
⦁ 2020: Staff Nurse – UPMC Mercy
⦁ 2020: Professional Staff Nurse – UPMC Mercy
⦁ 2021: Professional Staff Nurse, BSN – UPMC Mercy
⦁ 2022: Professional Staff Nurse, BSN, Casual – UPMC Mercy
⦁ 2023: Sr. Professional Staff Nurse, BSN, Casual – UPMC Mercy
Keshon might have only started his nursing career 3 years ago, but he has made the most of his time at UPMC! Through tuition assistance and mentorship by coworkers, Keshon has gained experience and grown as a nurse, leader, and UPMC team member. Before his current role with UPMC Travel Staffing, Keshon proudly worked as a staff nurse in his hometown of McKeesport.
Keshon’s Career Journey:
⦁ 2020: Professional Staff Nurse – UPMC Presbyterian Shadyside
⦁ 2020: Professional Staff Nurse, BSN – UPMC Presbyterian Shadyside
⦁ 2020: Staff Nurse – UPMC McKeesport
⦁ 2020: Staff Nurse, BSN – UPMC McKeesport
⦁ 2021: Bed Flow Coordinator – UPMC McKeesport
⦁ 2022: Administrator On Duty – UPMC McKeesport
⦁ 2022-present: RN – UPMC Travel Staffing, MS
BENEFITS AND LIFE AT UPMC
We know that you have many options when choosing where to build your career. So why choose UPMC? We can think of a few reasons.
Work-Life Balance
Finding the ideal balance to manage the important elements in your life.
Development & Opportunities
Enhancing your career through continued learning opportunities and/or advancement.
Compensation
Receiving competitive pay for the work that you do – base pay, merit, and premium pay.
Performance & Recognition
Rewarding performance that supports the goals and mission of UPMC.
Benefits
Providing assistance and security to meet the current and future needs of you and your family.
Work-Life Balance
Finding the ideal balance to manage the important elements in your life.
Development & Opportunities
Enhancing your career through continued learning opportunities and/or advancement.
Compensation
Receiving competitive pay for the work that you do – base pay, merit, and premium pay.
Performance & Recognition
Rewarding performance that supports the goals and mission of UPMC.
Benefits
Providing assistance and security to meet the current and future needs of you and your family.
Benefits that Matter to You
We’re committed to providing benefits that meet your needs and support your well-being in all areas of life.
- Earn over 5 Weeks of Paid Time Off Every Year
- Affordable Medical, Dental & Vision Coverage
- Student loan assistance and tuition reimbursement options
- Earn up to 8% of your eligible pay in retirement contributions from UPMC
- Employer-Paid Life Insurance
Benefits that Matter to You
We’re committed to providing our employees with benefits that meet their needs and support their well-being in all areas of life.
- Earn over 5 weeks of paid time off every year
- Affordable medical, dental & vision coverage
- Student loan assistance and tuition reimbursement options
- Earn up to 8% of your eligible pay in retirement contributions from UPMC
- Employer-paid life insurance
Support for You – and Your Family
Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.
- Two Weeks of Paid Parental Leave
- Family Planning Resources
- Tuition Assistance for Dependents
- Comprehensive Health Care for Dependents
- Emergency Child and Elder Care Options
- Flexible Work Arrangements
Support for You – and Your Family
Your career doesn’t impact just you, but the people you care about, too. We’re making sure your career works for the whole family.
- Flexibility to choose the shifts and work arrangements work best for your lifestyle
- Two weeks of paid parental leave
- Family planning resources
- Comprehensive health care for dependents
- Emergency child and elder care options
A Culture That Cares
At UPMC, you can find a home among people who share your passions and care about who you are.
- Employee Resource Groups
- Awards for Champions of Dignity & Respect
- Center for Engagement & Inclusion
- Programs for Veteran Engagement
A Culture That Cares
UPMC is a place where you can find a home, no matter your gender, race, sexual orientation, age, or culture, and where you can meet people who share your passions and care about you.
- Employee resource groups
- Awards for champions of dignity & respect
- Center for Engagement & Inclusion
- Programs for Veteran Engagement
Tools to Reach Your Potential
Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.
- Up to $6,000 of Annual Tuition Assistance
- Ongoing Learning via Linkedin Learning
- Accelerated Career Pathways for Growth
- Robust Instructor-led Education and Learning Pathways
Tools to Reach Your Potential
Once you become a member of our team, the journey doesn’t stop there. UPMC is committed to supporting your growth and helping you build the career of your dreams.
- Unlimited educational possibilities, including no-cost BSN and MSN programs
- Robust career ladders for every nurse – no matter your specialty, location, or career stage
- Up to $6,000 of annual tuition assistance
- Ongoing learning opportunities
Expansive Opportunity
Where do you want to go with your career? Wherever it is, UPMC can take you there.
- 96,000+ Employees
- 40 Hospitals and 800+ Doctors’ Offices and Outpatient Sites
- Dozens of Career Ladders to Climb
- International Locations
- State-of-the-Art Technology
Expansive Opportunity
Where do you want to go with your career? Wherever it is, UPMC can take you there.
- 96,000+ employees
- 40 hospitals and 800+ doctors’ offices and outpatient sites
- International locations
- State of-the-art technology
Read More about Nursing at UPMC
Through tuition assistance and mentorship by coworkers, Keshon launched his nursing career in his hometown of McKeesport.
Since growing up in Syria, Jouli H.’s story has been one that inspires all of us to remember how empowerment can truly change someone’s life.
We asked our nurses to shed some light on what Med-Surg nursing means to them. Get to know Med-Surg nursing – in four words – from UPMC nurses!