- CVS Health (Blue Bell, PA)
- …Establish best practices, ensure consistency, and provide guidance to the broader Individual Medicare actuarial pricing team. Leading and developing a team of ... will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual...actuaries responsible for supporting the IVL MA actuarial team, local market partners, and Medicaid partners to… more
- Henry Ford Health System (Troy, MI)
- …support to meet urgent Part D and pharmacy analysis needs. This new Director role establishes dedicated, in-house pharmacy actuarial expertise to strengthen ... proactively position HAP for competitive advantage in 2026 and beyond. Position Summary The Director , Actuarial Services - Pharmacy / Part D is responsible for… more
- CVS Health (Hartford, CT)
- …do it all with heart, each and every day. **Position Summary** The Executive Director , Strategic Finance will lead a newly established Strategic Finance function ... Director will partner closely with Market Finance, Network/Clinical, Actuarial , and Analytics to translate strategy into financial impact. **Key… more
- Banner Health (Phoenix, AZ)
- …products. This role will also be responsible for the strategic development of the actuarial and healthcare economic departments. Will lead the Actuarial team ... **Primary City/State:** Phoenix, Arizona **Department Name:** Actuarial -BHN Cntr **Work Shift:** Day **Job Category:** General...Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of… more
- Health Care Service Corporation (Nashville, TN)
- …changes, understanding impacts, annual unlocking and communication of impacts. * Lead actuarial valuation team and effective ongoing management of ... financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual… more
- CVS Health (Phoenix, AZ)
- …and more compassionate. And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic ... actionable insights that guide business decisions for national and local providers. The Director will also play a key role in supporting the development and tracking… more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning strategic ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- Point32Health (ME)
- …physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a team who negotiates contracts including risk ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- AbbVie (Mettawa, IL)
- …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... organization will lead the financial assessment of payer contracting via data...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Centene Corporation (Jefferson City, MO)
- …that fall outside of forecasted expectations. + Present detailed financial insights to executive Medicare leadership + Lead and manage a team of 2-3 direct ... Profit & Loss (P&L) for the Central region of Medicare , with Texas as the largest market + Oversee...investment initiatives + Interpret and understand forecasts prepared by actuarial teams. + Monitor and analyze business processes and… more
- Point32Health (Canton, MA)
- …are at Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible ... that optimize performance across our provider networks serving Point32Health's Medicare , Medicaid, Duals and Commercial small and individual group markets.… more
- Molina Healthcare (ID)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... multiple organizational functions - Payment Integrity, Claims, Encounters, Finance, and Actuarial + Proven experience in managing complex projects, including the… more
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