Actuarial Specialist or Actuarial Analyst - Rate Setting

Job no: 495171
Work type: Staff Full-time
Location: UMBC Campus
Categories: Other

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).

Why Work at UMBC?
UMBC offers competitive compensation. This role starts at $67,000 (for the Actuarial Specialist) or $78,000 (for the Actuarial Analyst) and has over 4 weeks of vacation for regular full time roles. Tuition remission is also available.

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For 16 years in a row UMBC has been recognized as a Great College to Work For!

Telework:
A hybrid telework schedule may be available.

Responsibilities:
The incumbent will be responsible for the following specific duties:

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

Background Screening Statement:
A background check will be required.

Special Instructions to Applicants:
Upload a cover letter and a resume.

Closing Date:Open Until Filled

Benefits:
UMBC offers a rich benefits package.

Regular and grant funded regular positions (Full benefits summary click here):

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

Additional Benefits:

Life and disability insurance
Retirement plans (including the choice of joining the pension plan)
Professional development opportunities
Wellness opportunities
& Much more

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

The salary of the finalist(s) selected for this role will be set based on a variety of factors, including but not limited to, internal equity, budget, prior experience, skills, knowledge, abilities, education, licensure and certifications, and other business considerations.

The above salary range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Hours:Full-time

Type:
Grant Funded

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

FLSA Status:Exempt

Equal Opportunity Statement:UMBC is an Affirmative Action/Equal Opportunity Employer. Applications from women, minority group members, veterans and individuals with disabilities are encouraged to apply.

Title IX:As an institution that receives federal financial assistance, UMBC adheres to Title IX and does not discriminate on the basis of sex. For more information about Title IX and contact information for Title IX Coordinator click here.

Accommodation:

If you require a reasonable accommodation for a disability for any part of the employment process, please contact the Human Resources Department at 410-455-2337 or MD TTY Relay Service 1-800-735-2258 between 8:30 a.m. and 4:00 p.m. Monday through Friday.

Work Authorization As required by the 1986 Immigration Act, be prepared to present acceptable documentation upon hire showing your identity and that you are a U.S. citizen or an alien who is authorized to work.

Advertised: Feb 3 2026 09:00 Eastern Standard Time
Applications close: Open Until Filled

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Actuarial Specialist or Actuarial Analyst - Rate Setting