- WTW (Tampa, FL)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) ... by working across different client profiles and roles, including leading clients' financial / actuarial engagements for a portfolio of small clients or managing… more
- Molina Healthcare (Tampa, FL)
- …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Tampa, FL)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership + Generate… more
- Molina Healthcare (Tampa, FL)
- …of these processes. This is a non-traditional role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. ... responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this...related to medical care costs. + Design and perform actuarial studies related to medical care costs and trends.… more
- AdventHealth (Altamonte Springs, FL)
- …for the PHSO, and other parts of the PHD o Contributes to enhancing actuarial and financial models and may take primary responsibility for the development ... **Consultant, Actuarial Services AdventHealth PHSO** **All the benefits and...IBNR, seasonality, etc. is desired. Knowledge of shared risk financial models, ie, MSSP, ACO REACH, and commercial ACOs,… more
- Molina Healthcare (Orlando, FL)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Molina Healthcare (Orlando, FL)
- …provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired + Multiple ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Elevance Health (FL)
- ** Senior Healthcare Economics Analyst** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... This position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst** (Advanced Analytics Analyst Senior )… more
- ChenMed (Miami, FL)
- …need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively tracking the ... Works with different departments within ChenMed to provide analytics supported by actuarial modeling. In alignment with our Finance vision, this position will… more
- Prime Therapeutics (Tallahassee, FL)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation… more
- Molina Healthcare (FL)
- …**Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and recommendations ... relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering,… more
- ChenMed (Miami, FL)
- …rapidly expanding and we need great people to join our team. The Senior Manager, Payer Performance will provide analytical insights to optimize payer contract ... new product/line of business or other contracting opportunities, payor-specific financial or operational assessments. + Builds/maintains strong relationships with… more
- CenterWell (Tallahassee, FL)
- …put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely information ... and works directly to support business intelligence. Evaluates industry, economic, financial , and market trends to forecast the organization's short, medium and… more
- Humana (Tallahassee, FL)
- …Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Humana is seeking to fill a Market ... Advantage line of business. The Market Finance Lead supports all Market Financial , Administrative, Product, Claims and trend analytics. This position is the team… more
- Humana (Tallahassee, FL)
- …insights to inform product strategy. + Collaborate cross-functionally with clinical, financial , actuarial , and operational teams to develop value-added benefits ... first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our Medicaid Product...is a unique opportunity to shape the future of healthcare for vulnerable populations while contributing to Humana's mission… more
- Elevance Health (Miami, FL)
- …actionable intelligence that supports both business unit objectives and enterprise-wide healthcare affordability strategies. **How You Will Make an Impact** + ... efficiency opportunities, and performance improvement levers. + Partners with senior business leaders to translate analytics into strategy, ensuring insights… more
- Elevance Health (FL)
- …launches and ongoing refinement. * Collaborate cross-functionally with business, clinical, actuarial , and technology teams to ensure data alignment and a shared ... * Report project progress, performance risks, and results to senior management with clarity and confidence. * Contribute to...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more