- CVS Health (Hartford, CT)
- …and making sound, unbiased reports on these issues. **A Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs ... that produces returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially… more
- CVS Health (Chicago, IL)
- …we do it all with heart, each and every day. **Position Summary** + Provide actuarial support for the Medicaid Revenue Integrity projects by + Continue to ... programming experience **Preferred Qualifications** + Passed at least 2 actuarial exams + Experience in Medicaid +...least 2 actuarial exams + Experience in Medicaid + Experience with SQL **Education** + Bachelor's degree… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Molina Healthcare (Augusta, GA)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes,… more
- Molina Healthcare (Scottsdale, AZ)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes,… more
- Humana (Louisville, KY)
- …caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical ... effectiveness within the Medicaid segment. This function integrates Medical Economics, Clinical Insights,...accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in… more
- AbbVie (Mettawa, IL)
- …businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders including Finance, ... Qualifications + Bachelor's degree or foreign academic equivalent in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field of study,… more
- Centene Corporation (Austin, TX)
- …workplace flexibility. **Position Purpose:** Drives analytics and insights related to Medicaid , Marketplace, or Medicare programs with the objective of driving ... **Education/Experience:** Bachelor's degree or equivalent in Business Administration, Marketing, Actuarial Sciences, Applied Mathematics or Statistics. 5+ years of… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more