• Actuary - Value Based

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: Actuary - Value Based Contracting Location: Hybrid | Eagan, Minnesota Career Area: ... Impact You Will Have We are looking for an Actuary for our Medicare Provider Relations team! You will...Accountable for modeling the structure and outcomes of various value - based contracting (VBC) arrangements and… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Value - Based Innovation Consultant

    Highmark Health (Pittsburgh, PA)
    …consulting, administration or related area + 2-3 years of experience in value - based reimbursement, through managed care contracting , provider reimbursement, ... to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify… more
    Highmark Health (09/05/25)
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  • AVP, Value Based Payment & Execution…

    Molina Healthcare (GA)
    …across relevant lines of business and provider types. + Utilize extensive knowledge of Value Based Contracting models in managed care and payment innovation ... and requires residence Georgia. The Assistant Vice President (AVP) Value Based Payment & Execution for Molina...Leadership, Georgia P&L leaders, health plan product design, and actuary and finance. + 10+ years managed care experience,… more
    Molina Healthcare (09/17/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Baton Rouge, LA)
    …years Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value - based reimbursement, through managed care contracting , provider ... to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify… more
    Highmark Health (07/30/25)
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  • Clinical Operations Manager- VBC

    Somatus (Nashville, TN)
    …healthcare consulting, particularly in value - based care. . Understanding of value - based contracting and healthcare quality. . Overall knowledge of ... Overview As the largest and leading value - based kidney care company, Somatus is...on forecasting and aligning staffing needs. . Works with actuary team and VBC leadership to complete year-end reconciliation.… more
    Somatus (10/04/25)
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  • SVP, Finance

    Somatus (Mclean, VA)
    …stakeholders. + Possess strong analytical, research, and organizational skills + Understanding of Value - Based Contracting / Pay for Performance / Healthcare ... Overview As the largest and leading value - based kidney care company, Somatus is...successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development… more
    Somatus (09/17/25)
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