- Globe Life Inc. (Mckinney, TX)
- Senior Managing Actuary - Health Pricing (Hybrid) Primary Duties & Responsibilities As a member of the Globe Life Health Pricing team the position will ... models. Prepare and file various regulatory reports. Pricing of new and existing health products. Collaboration with rate filing actuary to execute product and… more
- Cambia Health Solutions, Inc (Portland, OR)
- …WAWHO WE NEEDThe Product Implementation Manager (I or II) ensures that new Medicare Advantage products and product enhancements are implemented and delivered to the ... market timely, in compliance with Centers of Medicare and Medicaid Services (CMS) and First Tier, Downstream, and Related Entities (FDRs) requirements. This role… more
- CVS Health (Hartford, CT)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...skills and attention to detail Preferred Qualifications + Previous Medicare Part D or pharmacy experience a strong plus… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Deloitte (Williamsville, NY)
- …a career in Deloitte's Human Capital practice. Work you'll do As a Government Health Actuary - Senior Consultant in Deloitte's Human Capital Actuarial and ... the transformation. Qualifications Required: + 4 + years of health actuary experience and consulting and/or ...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- Elevance Health (Columbus, OH)
- **Associate Actuary ** **Location:** Open to any Pulse Point location. Must be within a 50-mile radius of a Pulse Point location. This position will take part in ... Elevance Health 's hybrid workforce strategy which includes virtual work and...discussed as part of the hiring process. The **Associate Actuary ** completes the most diverse and complicated projects and… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other ... short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Columbus, OH)
- …us put health first** This a remote nationwide position The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Deloitte (Stamford, CT)
- …in Deloitte's Human Capital practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance ... can be a part of the transformation of the health care sector. Deloitte's health actuaries are...and small group markets + 1+ years experience with Medicare products, including Medicare Advantage or … more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of ... data on a wide variety of topics affecting the financial performance of the health plan. Ensure timely and accurate services to clients. Supports strong internal and… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
- Somatus (Mclean, VA)
- …for our patients and partners. **Showing Up for You** We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates learn, grow, and be the best ... opportunities + And more! **About the Role** The Deputy Actuary provides management and leadership actuarial reporting. Responsibilities **Essential Duties… more
- Health First (Rockledge, FL)
- …degree in a clinical or business field. *Work Experience: * Five years of health plans Medicare Advantage & Individual & Family plans, regulatory or compliance ... form and rate filings with the OIR. Work with Actuary , CMS and the OIR to gain approval of...Experience: *Experience in health plan regulatory or health plan compliance program operations specializing in Medicare… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful ... re-entry into the Group Medicare Advantage Market. The role will have responsibility for...and consults with senior leaders (eg SVP and Chief Actuary ; SVP, Underwriting; EVP, Sales, Marketing & Service; SVP… more
- Elevance Health (Columbus, OH)
- …Responsible for the fiscal, operational, and regulatory management for both large and complex Medicare Health plans in Ohio. The role aligns strategy to achieve ... **RVP & President Medicare Market (Ohio)** **Location:** This role requires the...business goals. **Position Responsibilities** + Manage the health plan(s) P&L to include revenue, cost management/Cost of… more
- CVS Health (Phoenix, AZ)
- …Senior Manager, on the Medicare D Actuarial Services team. We are seeking an actuary to support our Medicare Health Plan Clients. You will work with ... CVS Caremark Medicare Health Plan clients, providing guidance and...data analysis * 1+ years SAS experience * Accredited Actuary is required (Associate of the Society of Actuaries… more
- CVS Health (Hartford, CT)
- …consistent with the Medicare and Commercial blocks. Work with your reserve actuary peers in the Commercial and Medicare business to identify Medicaid ... Bring your heart to CVS Health . Every one of us at CVS ...ownership of the model. + Serve as the appointed actuary for the Medicaid legal entities, including providing annual… more
- Highmark Health (Harrisburg, PA)
- …of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
- CVS Health (Hartford, CT)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose… more
