- Somatus (Mclean, VA)
- …strategies to position the company for a successful IPO. + **Collaborate** with Actuary and MedEcon to structure pricing and contract terms for profitability and ... health regulations, bonus methodologies, and financial structures across Medicare, Medicaid , and commercial payers. + **A clear communicator and collaborative… more
- Iowa Department of Administrative Services (Des Moines, IA)
- Medicaid Actuary Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/5146228) Apply Medicaid Actuary Salary $72,238.40 - $111,238.40 ... (HHS), Division of Medicaid , Bureau of Budget and Planning is seeking a Medicaid Actuary to join our team! The Medicaid Actuary is a critical… more
- Centene Corporation (Charleston, WV)
- …benefits including a fresh perspective on workplace flexibility. **Welcome!** This Associate Actuary role is a great fit for candidates who have recently earned ... are looking to continue growing their actuarial career in ** Medicaid projections by building market expertise** . **Important Note:**...to aid in developing claims projections. **In this Associate Actuary role, you will:** + Serve as the main… more
- AmeriHealth Caritas (Newtown Square, PA)
- **Responsibilities:** The **Associate Actuary ** will collaborate with team members and other stakeholders toward delivering needed actuarial services to the ... organization. This position will support ** Medicaid Markets.** **Work Arrangement** + This is a 100%...emerging issues + Informs rate setting with validation of Medicaid pricing and ad hoc requests from agencies +… more
- Humana (Lincoln, NE)
- …reserves for all Humana Insurance lines of business, with a primary focus on Medicaid . The Associate Actuary , Valuation will also assist with the development of ... part of our caring community and help us put health first** The Associate Actuary , Valuation is responsible for estimates of short term and long term reserves… more
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** The Actuary , Valuation is responsible for estimates of short term and long term reserves required ... reserves for monthly, quarterly, and annual financial statement reporting. The Actuary , Valuation works on problems of diverse scope and complexity ranging… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Humana (Jackson, MS)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Lead Actuary , Risk and Compliance is responsible for the overall management and oversight of ... and recommends controls and cost-effective approaches to minimize risks. The Lead Actuary , Risk and Compliance works on problems of diverse scope and complexity… more
- Humana (Hartford, CT)
- …part of our caring community and help us put health first** The Actuary , Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining ... pricing tools that price standard and custom benefits. The Actuary , Pricing works on problems of diverse scope and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Indianapolis, IN)
- …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Humana (Jefferson City, MO)
- …help us put health first** This a remote nationwide position The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Chief Health Actuary ** **Job Class: Director Actuarial and Regional Policy Analyst** **Agency: Commerce Department** + **Job ID** : 90317 + ... and MEWAs. Assist other agencies in technical calculations used to collect Medicaid surcharge taxes, which provides approximately $39 million of revenue to the… more
- Banner Health (Phoenix, AZ)
- …Will direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and Human Services (HHS), Arizona's Medicaid agency ... Knowledge of health care and state government, familiarity with Medicaid , Commercial and Medicare related products. Demonstrated leadership capabilities,… more
- Deloitte (Colorado Springs, CO)
- …services to public sector clients + Support engagements focused on Medicaid reimbursement, including actuarial rate development across managed care and ... fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk...accelerate speed-to-value. Qualifications Required: + 2+ years of health actuary experience and consulting and/or health plan/insurance company experience… more
- Highmark Health (Pittsburgh, PA)
- …**Job Description :** **JOB SUMMARY** This job leads the overall performance of a Medicaid plan, for quality of care and service as well as financial performance. ... local, state, and federal officials/ agencies. + Work with Actuary , Finance, Executive Leadership and key business partners, lead...other influential local entities in support of the state's Medicaid programs and members as well as market and… more
- Humana (Juneau, AK)
- …actuarial science, and external practices, partners with the Chief Insurance Actuary , HR, and leaders to drive leadership development, skills advancement, learning, ... and enterprise talent initiatives. This position reports to the Chief Insurance Actuary . **Key Responsibilities:** + In coordination with the Chief Insurance … more
- Banner Health (AZ)
- …Economics and Actuarial work experience as an important part of the Actuary Department. Among other responsibilities, you will perform rate analysis, complete rate ... Commercial ACOs, Employer Plans, Medicare Advantage Prescription Drug plans (MA-PD), Medicaid , Medical Economics, and other healthcare data analytics. The actuarial… more
- Highmark Health (Pittsburgh, PA)
- …successful candidate will collaborate with key partners across the enterprise including actuary , finance, and reimbursement operations to build the ROI frameworks of ... risk share models and will be implemented for the Organization'sMedicare Advantage, Medicaid , ACA, and commercial populations with the goal of maximizing quality… more
