- WTW (Short Hills, NJ)
- **Description** As a Healthcare Financial / Actuarial Lead Associate you will contribute to a wide variety of complex analyses and projects involving the ... Service teams to deliver superior project management + Communicates complex financial / actuarial /analytic results to effectively drive client action + Build… more
- WTW (Short Hills, NJ)
- **Description** As a Healthcare Financial / Actuarial Associate Director, you will be a key member of the Financial , Actuarial and Analytics (FAA) ... Community of Expertise. You will lead financial and actuarial engagements for a portfolio of clients and play a strategic role on complex accounts,… more
- Elevance Health (Morristown, NJ)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Prime Therapeutics (Trenton, NJ)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... management, and clients; answer detailed and challenging questions regarding actuarial data + Lead and mentor ... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation… more
- Elevance Health (Woodbridge, NJ)
- …completes the most diverse and complicated projects and performs highly complex actuarial studies. **How You Will Make an Impact** Primary duties may include, ... but are not limited to: + Performs key actuarial functions including new product pricing, evaluation of the...Responsible for valuation support for business unit by interpreting financial results, variances from forecast to help identify product… more
- JPMorgan Chase (Jersey City, NJ)
- …on strategy and analytics, is strongly preferred + Proficiency with self-insured actuarial / financial analysis is strongly preferred JPMorganChase, one of the ... you will be responsible for evaluating, implementing, measuring, and managing US healthcare initiatives aimed at improving employee health care. The JPMorgan Chase… more
- Humana (Trenton, NJ)
- …claims utilizing revenue codes, CPT/HCPCS, ICD-10 diagnosis codes, DRG, etc. Partner with actuarial , financial , and clinical teams to align on data definitions, ... variable factors and determining the best course of action. Analyzes and forecasts financial , economic, and other data to provide accurate and timely information for… more
- Evolent (Trenton, NJ)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking + Working ... communicate to internal/external audiences at various levels of the enterprise + Lead and facilitate interaction with customers in a manner that fosters expertise… more
- CVS Health (Trenton, NJ)
- …case level strategy including: + Support and execute prospecting initiatives / lead generation + Conduct consultant meetings / briefings + Qualify RFP opportunities ... consultant debriefs, network analysis, and identification of pathway to winning + Execute financial strategy with ability to present on UW approval calls + Finalist… more