- UnitedHealth Group (Fort Washington, PA)
- …Caring. Connecting. Growing together. The Director of Actuarial within UHC Medicare & Retirement will lead an actuarial team responsible for claim ... processes and models. The director will proactively identify, communicate, and lead organizational dialogue on Medicare Supplement trend development and cost… more
- Daymark Health (Boston, MA)
- …Daymark Health is on a mission to transform cancer care-and we're looking for our first Actuarial Director to help lead the way. In this high-impact role, ... and other teams to design complex forecasting models powered by modern technology. Lead the development and execution of actuarial models and cost savings… more
- CVS Health (Boston, MA)
- …strategies, and supporting Medicare operations through advanced analytics and actuarial insights. Key Responsibilities: + Lead the development and execution ... We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP- ... (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services...Risk Adjustment Services partners with the Chief Actuary to lead unit development and execution of strategy through tactics,… more
- Centene Corporation (Queens, NY)
- …(VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing end-to-end ... position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as...as upside/downside risk, shared savings, and global capitation. + Lead a team of analysts responsible for Medicare… more
- WelbeHealth (Los Angeles, CA)
- …vulnerable seniors with better quality and compassion in a value-based model. The Director , Actuary is accountable for all actuarial functions related to PACE ... underwriting, product development, and executive leadership to drive strategic initiatives + Lead full scale actuarial projects and project teams, as well… more
- Humana (Hartford, CT)
- …through deep knowledge of pharmacy trends, taking into account regulatory changes in the Medicare Part D space + Work with actuarial team to understand impact ... share, and abandonment rates + Work collaboratively with cross-functional teams, including marketing, actuarial , and finance + Develop and lead a team of both… more
- CareFirst (Baltimore, MD)
- …day-to-day operations, performance, and oversight of pharmacy economics and PBM functions. The Director will lead and oversee ongoing day-to-day functions of the ... delivery. **ESSENTIAL FUNCTIONS:** Supply Chain and Contracts & Vendor Management: o Lead the operating model for pharmacy rebates and network discounts and PBM… more
- AbbVie (Mettawa, IL)
- …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... organization will lead the financial assessment of payer contracting via data...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Prime Therapeutics (Providence, RI)
- …key stakeholders, senior management, and clients; answer detailed and challenging questions regarding actuarial data + Lead and mentor Actuarial team members ... The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential… more
- Datavant (Little Rock, AR)
- …and external stakeholders. The manager will collaborate with other managers and the department director to set strategy and mobilize the team to be as performant as ... team. **What you will do** : + Set and lead the day-to-day work of their direct reports with...their direct reports with guidance and collaboration from the director and other department managers + Develop core relationships… more
