- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst III** is...+ Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually… more
- CVS Health (Hartford, CT)
- …day. **Position Summary** Aetna is recruiting for a Senior Manager , Actuarial who will support the Medicare Network. They will work to understand Network ... this important line of business. This is an entirely Medicare focused role surrounding delivering on our overarching ...Medicare focused role surrounding delivering on our overarching Medicare network strategy. **You will make an impact by:**… more
- Healthfirst (NY)
- …products + Review and quantify any regulatory / CMS proposals and/or changes to the Medicare program + Assist in other actuarial functions such as in incurred ... Finance or any related degree + Experience in the actuarial field related to Medicare (bid development/review, analysis, reporting, risk scores) + Ability to… more
- Centene Corporation (Cheyenne, WY)
- …fresh perspective on workplace flexibility. **Eligibility Requirement:** To qualify for the Manager , Actuarial Services role, applicants must hold a bachelor's ... leader for the **Coordinated Care Medicaid health plan in Washington State** . The Manager , Actuarial Services is responsible for leading actuarial functions… more
- CVS Health (Austin, TX)
- …we do it all with heart, each and every day. Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and ... scenario testing, supporting model development and maintenance, and working with manager , peers, and business partners to develop simple explanations for drivers… 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
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment ... limited to, Medicare Product, Provider Contracting, Health and Medical Management, Actuarial , and Finance + Actively manage the facilitation of the Risk Revenue… more
- CareOregon (Portland, OR)
- … Requisition # 24950 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Actuarial Services Manager Department Finance Pay and ... one of the listed 9 states. Job Summary This senior level position is responsible for performing a wide...responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's… more
- Martin's Point Health Care (Portland, ME)
- … actuarial expertise and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) ... matrix management environment. Job Description Key Outcomes: + Support the annual Medicare Advantage and Prescription Drug (MA/PD) bid development by working with… more
- Deloitte (Tempe, AZ)
- …Participate in the transformation of the health care sector through innovative actuarial solutions + Contribute to the development of evidence-based medicine and ... and solutions + Collaborate with cross-functional teams to deliver comprehensive actuarial services + Drive initiatives that improve health care delivery and… more
- Marshfield Clinic (Marshfield, WI)
- …the world!** **Job Title:** Business Intelligence Analyst Contract Analyst / Analyst Senior (Remote in WI or MN) **Cost Center:** 682891544 SHP-Provider Network Mgmt ... business or information systems, computer science, mathematics, statistics, economics, actuarial science or related field. **Preferred/Optional:** None **EXPERIENCE** **Minimum… 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
- CVS Health (Harrisburg, PA)
- …supporting complex Capitation analyses that support our strategic goals for Medicaid, Medicare , IFP and commercial, and working collaboratively with the Network to ... healthcare data, metrics & coding structures + Understanding of both Commercial and Medicare plans to help network partners to make sound decisions to drive… more
- Tucson Electric Power (Tucson, AZ)
- …Takes initiative to grow in functional knowledge; requests guidance or approval from more senior Benefits Analysts or the Manager while gaining experience as a ... . Gathers data and performs analysis in support of actuarial valuations, working with actuaries to ensure timely and...in subject matter; requests guidance or approval from more senior Benefits Analysts or the Manager , as… 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
- 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
- Elevance Health (Atlanta, GA)
- …+ Strong analytical, organizational, presentation, and problem solving skills preferred. + Medicare Part D experience is preferred. + Actuarial background is ... on data related to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How you will make an impact:** +… 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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