- WTW (TX)
- **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 (Austin, TX)
- …and Benefits Financial / Actuarial Director, you will serve as the financial lead for large, complex client assignments. You'll leverage your experience as ... a benefits financial / actuarial expert to make strategic recommendations on...analytics expertise to solve complex client problems and to lead the development of new H&B intellectual capital. +… more
- WTW (Dallas, TX)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community ... quality standards are met. You will have the opportunity to position yourself to lead financial project with small-to-midsized clients, and work on cutting edge… more
- The Cigna Group (Austin, TX)
- …of the healthcare industry. You'll be supported by a collaborative actuarial community and mentors throughout your FSA credentialing - all designed to help ... **Spend your career making an impact.** **The Cigna Group's Actuarial Executive Development Program (AEDP)** **offers** **a premier p**...could be within: + Healthcare Pricing + Healthcare Reserving + Pharmacy Economics + Financial … more
- Prime Therapeutics (Austin, TX)
- …**Responsibilities** + Own, build, support, and maintain financial and complex actuarial models + Lead , perform, and review data analyses, reporting, and ... projections + Lead , perform, and review complex ad hoc pharmacy data... work experience to include 3 years in a healthcare organization or PBM + Actuarial designation… more
- The Cigna Group (Austin, TX)
- …of the healthcare industry. You'll be supported by a collaborative actuarial community and mentors throughout your FSA credentialing - all designed to help ... **Spend your career making an impact.** **The Cigna Group's Actuarial Executive Development Program (AEDP)** **offers** **a premier p**...could be within: + Healthcare Pricing + Healthcare Reserving + Pharmacy Economics + Financial … more
- Molina Healthcare (Houston, TX)
- …scores. + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership ... sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Molina Healthcare (TX)
- …as needed, including training materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and ... and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Humana (Austin, TX)
- …in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial , Administrative, Product, Claims and trend ... analytics. This position is the team lead for all market financial reporting, budget/administration development, product/bid development trend analytics and… more
- Centene Corporation (Austin, TX)
- …**Education/Experience:** Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare ... live in Eastern or Central Time Zone. **Position Purpose:** The Manager, Healthcare Analytics drives the execution of analytics strategy through the discovery,… more
- Elevance Health (Grand Prairie, TX)
- …service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare actuarial analytics preferred. + ... The **Advanced Analytics Analyst Senior** will be responsible for analyzing healthcare cost data, identifying trends, and developing strategies to enhance cost… more
- Humana (Austin, TX)
- …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
- CVS Health (Austin, TX)
- …in excess of assigned target, including: + Executing prospecting initiatives / lead generation. + Conducting consultant meetings / briefings. + Qualifying RFP ... debriefs, network analysis, and identification of pathway to winning. + Executing financial strategy with intentional financial recommendations based on an… more
- CVS Health (Austin, TX)
- …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
- Elevance Health (Houston, TX)
- …actionable intelligence that supports both business unit objectives and enterprise-wide healthcare affordability strategies. **How You Will Make an Impact** + ... and executing analytics strategies that impact cost of care or financial performance. + Experience leading multi-disciplinary teams and managing large, complex… more
- The Cigna Group (Austin, TX)
- …on setting and executing the vision for how advanced embedded analytics can lead Forsyth Health to achieving our growth goals. This role will work collaboratively ... Looker. (Largely Tool agnostic environment) + Extraction and analysis of large healthcare claims data using state of the art big-data infrastructure leveraging cloud… more