- Molina Healthcare (Mesa, AZ)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES**...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- CVS Health (Hartford, CT)
- …and making sound, unbiased reports on these issues. **A Brief Overview** + Provide actuarial support for the **Texas and Oklahoma Medicaid ** plans. + Performs ... **Position Summary** Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs… more
- Fallon Health (Worcester, MA)
- …**Primary Job Responsibilities** + Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis + ... actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams including finance,… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 1 provides actuarial support across a broad range of ... actuarial and business needs for specific product lines. The Actuarial Analyst 1, General work assignments are often straightforward and of moderate… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Chief Health Actuary** **Job Class: Director Actuarial and Regional Policy Analyst ** **Agency: Commerce Department** + **Job ID** : 90317 + ... Medicare supplement, disability and long term care insurance. + Provide expert actuarial guidance on solvency oversight over risk -taking health entities,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk ...of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue.… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR,… more