"Actuarial Specialist or Actuarial Analyst – Rate Setting"

Department:

The Hilltop Institute The Hilltop Institute conducts research and policy analysis to support health care financing and delivery system reform in Maryland and other states. With access to an extensive onsite data repository that includes Medicaid and Medicare administrative data, hospital discharge data, nursing home assessment data, and all-payer claims data, Hilltop conducts qualitative and quantitative analysis to inform health care payment, program design, monitoring, and evaluation.

Position Overview:

The Hilltop Institute at the University of Maryland, Baltimore County (UMBC) is seeking an Actuarial Specialist or Actuarial Analyst to join its Rate Setting and Financial Analysis team. The incumbent will apply knowledge of statistics and economics and principles of finance and actuarial science to contribute to efforts to estimate, model, and evaluate the impact of federal and state policies on eligibility, service utilization, and costs of publicly funded health programs. The incumbent will also contribute to the development of fee-for-service and capitated payment rates for special programs, populations, and provider groups, including HealthChoice, Maryland’s $7 billion Medicaid managed care program that serves 1.6 million Marylanders, Medicaid home and community-based services (HCBS) waiver programs for older adults and individuals with physical and developmental/intellectual disabilities, the Developmental Disabilities Administration (DDA), and the Program of All-Inclusive Care for the Elderly (PACE).

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

Required Minimum Qualifications:

Actuarial Specialist Requires a Bachelor’s degree in actuarial science, economics, finance, business administration, mathematics/statistics, public administration, or a related discipline, and one years' experience OR an 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.
Actuarial Analyst Requires an 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 OR a 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 Qualifications:

The ideal candidate will possess the required experience and the following preferred professional and interpersonal competencies:

• 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

Salary:

Actuarial Specialist - $67,000 to $79,000; Actuarial Analyst - $78,000 to $90,000 depending on qualifications and experience.

Type:

Grant Funded. This position is Grant Funded, wherein employment is contingent upon award renewal.

Special Instructions to Applicants:

Upload a cover letter and a resume.