- EmblemHealth (New York, NY)
- …Emblem's premium revenue for these segments. Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff. ... 4+ years health insurance actuarial experience, preferably in the managed care industry required Prior management experience (processes and/or staff) preferred A… more
- AIG (Atlanta, GA)
- Actuary & Assistant Vice President - Retail and Canada Property Pricing At AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary ... 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
- Somatus (Mclean, VA)
- …**Essential Duties and** **Responsibilities:** + Analysis of Medicare Advantage and Accountable Care Organization data. + Medical economics reporting and ... **More Lives, Better Lived(R)** As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic… more
- WelbeHealth (Los Angeles, CA)
- …seniors with better quality and compassion in a value-based model. The Director, Actuary is accountable for all actuarial functions related to PACE revenue, ... WelbeHealth PACE (Program of All-Inclusive Care for the Elderly) helps seniors stay in...in their homes and communities by providing all-inclusive medical care and community-based services. We serve our most vulnerable… more
- Centene Corporation (Austin, TX)
- …behaviors, and the impact of pricing or product design decisions. + Accountable for the development of the organization's rate structure, maintenance of adequate ... Master's degree preferred. 10+ years of actuarial experience. Knowledge of Health Care Reform (ACA) regulations and implications on actuarial services and risk… 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 (Pittsburgh, PA)
- …This job leads the overall performance of a Medicaid plan, for quality of care and service as well as financial performance. The incumbent delivers the revenue and ... operating gains for this market. They are accountable for establishing and maintaining strategic relationships within the assigned state, the care provider… 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
- Highmark Health (Pittsburgh, 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
- 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
