- AIG (Chicago, IL)
- Actuary & AVP - Retail and Canada Property Pricing At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary & Assistant Vice ... and Risk Management, among other functions. As an AIG actuary , you will be challenged and encouraged to reach...objectives, including staff development and project prioritization. + Be accountable for the Retail & Canada Property results and… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through ... innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will support key organizational goals… more
- Banner Health (Phoenix, AZ)
- …as part of your Total Rewards package. Banner Health Network (BHN) is an accountable care organization that joins Arizona's largest health care provider, ... Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of the largest...Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive… more
- Highmark Health (Pittsburgh, PA)
- …CMS programs focused on provider innovation. This position will also be accountable for; developing a shared capability and implementation roadmap that is consistent ... successful candidate will collaborate with key partners across the enterprise including actuary , finance, and reimbursement operations to build the ROI frameworks of… more
- AIG (Atlanta, GA)
- …Claims, Operations, Marketing and Risk Management, among other functions. As an AIG actuary , you will be challenged and encouraged to reach your greatest potential ... their goals and objectives, including staff development and project prioritization. + Be accountable for the A&H results and in partnership with the business develop… more
- Highmark Health (Topeka, KS)
- …lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced ... as risk scores, demographic analysis, and turnover considerations. + Serve as the accountable owner for all quotes delivered to sales partners. Develop a perspective… more
- Highmark Health (Buffalo, NY)
- …population health, ambulatory care setting quality and efficiency metrics, accountable care organization development and support, patient centered medical ... of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate… more
- Fallon Health (Worcester, MA)
- …dashboards and make recommendations for performance improvement + Attend meetings with Accountable Care Organiztions (ACOs) that Fallon Health shares risk with ... The RAA will also work with the Government Programs Actuary , product line management, Medical Economics and Care... Actuary , product line management, Medical Economics and Care Services to provide analysis and recommendations to improve… more
- Highmark Health (Blue Bell, PA)
- …revenue and cost trends to achieve revenue targets and improve quality of care for our members. Drives the coordination with multiple stakeholders to implement and ... adjusted government programs (Medicare Advantage, ACA business, and Medicaid). Also work with Care Management to ensure that this information is used to improve the… more
- Somatus (Mclean, VA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development...communicate healthcare cost trends, issues, and total cost of care drivers. + Assist leadership in developing and evaluating… more
- Geisinger (Danville, PA)
- …Compliance and technical interpretive discussions with benefit counsel and enrolled actuary or consultants. Job Duties + Monitors eligibility, limitations, and ... surveys. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying...INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and… more
- AIG (Los Angeles, CA)
- …best meets clients' needs. + Working collaboratively with home office, distribution, actuary , claims, loss control, premium audit, credit and legal to develop and ... orientated behaviors: motivated, tenacious, focused, technically skilled, proactive, and accountable . + Strong presentation, negotiation, communication, and business development… more