Actuarial Specialist or Actuarial Analyst – Rate Setting jobs in United States
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University of Maryland Baltimore County · 11 hours ago

Actuarial Specialist or Actuarial Analyst – Rate Setting

The University of Maryland Baltimore County is seeking an Actuarial Specialist or Actuarial Analyst to join its Rate Setting and Financial Analysis team. The role involves applying knowledge of statistics, economics, and actuarial science to estimate and evaluate the impact of policies on publicly funded health programs and contribute to the development of payment rates for various health services.

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Responsibilities

Developing templates for cost reporting by health plans and providers
Collecting, auditing, and analyzing cost reports
Producing descriptive statistics and forecasting trends in eligibility, enrollment, service utilization, and costs for new and existing health care programs
Evaluating the impacts of federal and state legislation and benefit changes
Conducting analysis to support the development of capitated payment rates, new provider payment models, and risk mitigation strategies for public and private insurers
Researching and analyzing national and regional trends in provider payment rates and estimating budgetary impact of provider rate increases
Drafting reports, memoranda, and PowerPoint presentations for policymakers and stakeholders
Making presentations to professional audiences
Performing other duties as assigned

Qualification

Actuarial scienceStatisticsEconomicsFinanceQuantitative analysisRate settingMicrosoft ExcelMicrosoft PowerPointMicrosoft WordSASDatabase managementCommunication skillsProject management

Required

Bachelor's degree in actuarial science, economics, finance, business administration, mathematics/statistics, public administration, or a related discipline, and one years' experience
MBA or other Master's degree with a concentration in actuarial science, economics, finance, mathematics/statistics, public administration, or a related discipline and zero years' experience may be substituted for the Bachelor's degree and required experience
MBA or other Master's degree with a concentration in actuarial science, economics, finance, mathematics/statistics, public administration, or a related discipline and one years' experience
Bachelor's degree in actuarial science, economics, finance, business administration, mathematics/statistics, public administration, or a related discipline, and three years' experience may be substituted for the Master's degree and required experience

Preferred

Proven track record in applying statistics and economics and principles of finance, business, and actuarial science to develop and evaluate payment strategies for health plans and providers
Experience with rate setting and provider reimbursement regulations and methodologies for publicly funded health insurance programs
Experience in conducting research and quantitative analysis using large administrative data sets
The ability to lead cross-disciplinary project teams, manage work plans and budgets, and take responsibility for deliverables
The ability to effectively communicate verbally and in writing
Demonstrated proficiency in Microsoft Word, PowerPoint, and Excel, including pivot tables, statistical analysis, database management, and report formatting
Actuarial certification and knowledge of SAS is a plus

Benefits

Generous Leave which includes accruing:
22 Days of Annual Leave
15 Days of Sick Leave
15 Holidays
3 Personal Days
Tuition Remission:
8 credit hours per semester
Tuition remission at UMBC for eligible dependents after two years of FT employment
Life and disability insurance
Retirement plans (including the choice of joining the pension plan)
Professional development opportunities
Wellness opportunities
& Much more

Company

University of Maryland Baltimore County

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The University of Maryland, Baltimore County was born amid the turbulent swirl of the 1960s, and we had to cut our own path in a field of older, established institutions.

H1B Sponsorship

University of Maryland Baltimore County has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (64)
2024 (42)
2023 (26)
2022 (38)
2021 (28)
2020 (18)

Funding

Current Stage
Late Stage
Total Funding
$1.89M
Key Investors
National Science FoundationUS Department of Commerce, Economic Development Administation
2020-11-05Grant
2020-09-16Grant· $0.59M
2017-11-27Grant· $1.3M

Leadership Team

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Jack Suess
VP of IT and CIO
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Tanyka M. Barber, Esq.
Vice President, Institutional Equity and Chief Diversity Officer
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Company data provided by crunchbase