- AdventHealth (Altamonte Springs, FL)
- … Actuarial Services housed in the Finance Department. The role reports to Manager , Actuarial Services, and enhances the support provided by Actuarial ... **Consultant, Actuarial Services AdventHealth PHSO** **All the benefits and...ACOs, is also desired but not essential. Experience with Medicare Advantage is also relevant but isnt a significant… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This ... supply teams. The role will assist in development of actuarial analyses for Medicare Part D business,...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Group ... rates fully insured cases that are more routine in nature. . Calculates actuarial values for renewal, renewal alternate, and prospect cases using the department's… more
- CareOregon (Portland, OR)
- Job Title Senior Vice President, Finance Requisition # 25016 Exemption Status Exempt Management Level Senior Vice President Direct Reports Vice President, ... Controller, Finance Directors Manager Title Chief Financial Officer Department Finance Pay and Benefits Estimated hiring range $259,290 - $316,910 /year, 10% bonus… more
- Healthfirst (NY)
- **Duties:** + Develop and maintain risk score forecasting models to assist Actuarial in budget, quarterly forecasting and bid + Manage revenue trend models and ... Manage all analytical audit requests as they relate to Medicare RADV and OIG and prepare financial impacts estimations....and provide analytic support to the Product managers and actuarial department. + Pull data from the warehouse using… more
- Travelers Insurance Company (Richmond, VA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.… more
- Banner Health (Phoenix, AZ)
- **Primary City/State:** Phoenix, Arizona **Department Name:** Actuarial -BHN Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into ... Insurance Operations CFO and is responsible for overseeing all healthcare related actuarial and healthcare economics needs. This role will partner with other… more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more
- Fallon Health (Worcester, MA)
- …to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE (Program of All-Inclusive Care for the Elderly)- ... **Brief summary of purpose:** This position is responsible for providing actuarial analytic support to various departments and company key initiatives. Serves… more
- U-Haul (Phoenix, AZ)
- …Growth Path:This role provides an opportunity to grow into a Regulatory Compliance Manager or Senior Compliance Analyst with additional experience and regulatory ... 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial , and Finance teams in the administration of Med Supp rate filings,… more
- CareOregon (Portland, OR)
- …Director, Finance Exemption Status Exempt Department Health Share of Oregon Manager Title Chief Financial Officer Direct Reports Finance Department Staff Requisition ... plans and budgets; monitors progress and changes and keeps senior leadership abreast of the organization's financial status. +...related financial reports to explain variances. + Assists in actuarial process for rate setting with the Oregon Health… more
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