- WTW (Dallas, TX)
- **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 (Dallas, TX)
- …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 (Dallas, TX)
- …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 (Dallas, TX)
- …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
- Molina Healthcare (Dallas, TX)
- …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 (Dallas, TX)
- …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 (Grand Prairie, TX)
- …service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare actuarial analytics preferred. + ... predict, classify, quantify, and/or forecast business metrics. The **Advanced Analytics Analyst Senior ** will be responsible for analyzing healthcare cost data,… more
- Molina Healthcare (Dallas, TX)
- …**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
- Elevance Health (Grand Prairie, TX)
- …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