- WTW (Chicago, IL)
- **Description** The Senior Pricing Associate works within the Financial , Actuarial and Analytics (FAA) team and closely with the Pharmacy Practice within ... Health and Benefits. As a Senior Pharmacy Pricing Associate you will contribute to a wide...This role that provides excellent opportunities to grow your pharmacy and broader health and benefits financial … more
- Prime Therapeutics (Montgomery, AL)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior ... the organization. **Responsibilities** + Own, build, support, and maintain financial and complex actuarial models + Lead,...process + Present results and analyses to key stakeholders, senior management, and clients + Mentor Actuarial … more
- Providence (Portland, OR)
- **Description** ** Senior Actuarial Analyst \*Remote The Senior Actuarial Analyst will support key savings initiatives, cost management strategies, and ... insights for business partners. **Responsibilities:** + Develop and refine actuarial and statistical methodologies to support managed care savings initiatives.… more
- The Cigna Group (Franklin, TN)
- …for program associates could be within: + Healthcare Pricing + Healthcare Reserving + Pharmacy Economics + Financial Planning & Analysis + Data & Analytics + ... **Spend your career making an impact.** **The Cigna Group's Actuarial Executive Development Program (AEDP)** **offers** **a premier p** **athway** **that prepares**… more
- CVS Health (Hartford, CT)
- …Support the Medicaid Pharmacy team, including forecasting, reporting and pharmacy analytics across all Medicaid states. Perform actuarial functions by ... skills to recommend solutions and demonstrate and advanced understanding of actuarial concepts and business acumen. Set own priorities within pre-established overall… more
- WTW (Boston, MA)
- **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, delivering… more
- CVS Health (Blue Bell, PA)
- …+ Assist in tracking and communicating pharmacy and Medical Rx financial performance to senior stakeholders + Identify and implement process improvement ... This is a high-impact opportunity to shape and advance pharmacy strategy across the CVS Health enterprise as part...related fields + ASA credential or equivalent experience in actuarial or financial modeling + Excellent communication… more
- CVS Health (KY)
- …plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director and holds ... executive leadership team (CEO, COO, CMO, CFO, Legal, and Actuarial ) providing leadership, analysis, and guidance to the health...Pharmacy Director is to oversee and manage all financial and operational aspects of pharmacy and… more
- Comcast (Philadelphia, PA)
- …of Comcast NBCUniversal. + Has in-depth knowledge of health care financial forecasting/underwriting principles including self-insured medical and pharmacy plan ... we want you to fast-forward your career at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health care… more
- WTW (Dallas, TX)
- …crafting and selling solutions to meet their needs + Partner closely with the financial , actuarial and analytics, health equity and wellbeing, and other related ... **Description** As a Pharmacy Director, you will contribute to new strategic...vendor procurement and negotiation + Audits of PBM performance ( financial and operational) + Plan analysis, design, cost-savings and… more
- WTW (Tempe, AZ)
- …health care goals + Specialty drug management + Partner closely with the financial , actuarial and analytics, health equity and wellbeing, and other related ... **Description** **The Role:** As a Pharmacy Director, you will contribute to new strategic...vendor procurement and negotiation + Audits of PBM performance ( financial and operational) + Plan analysis, design, cost-savings and… more
- GEHA (Lee's Summit, MO)
- …plan environment + Strong financial acumen, including ability to influence pharmacy trends, manage rebates, and support actuarial forecasting. + Excellent ... by a nimble and efficient organization. The Vice President, Pharmacy is a senior executive leader responsible...PharmD with deep PBM and managed care experience, strong financial and regulatory acumen, and a proven record of… more
- CareFirst (Baltimore, MD)
- …time goals. Providing clear documentation and file maintenance. Using the latest actuarial tables and factors. + Monitor financial performance of assigned ... the corporate objectives. This position is responsible for monitoring financial performance and apprising management as needed. **ESSENTIAL FUNCTIONS:** +… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …with Proposal Unit to ensure accurate and timely RFP completion. + Consult with Actuarial Team to develop and implement ASC Pharmacy Pricing Strategies. + Master ... Bring your true colors to blue. Underwriting is instrumental to securing the financial wellbeing of insurance companies. At Blue Cross Blue Shield of Massachusetts,… more
- CVS Health (Springfield, IL)
- …+ Assist in tracking and communicating pharmacy and Medical Rx financial performance to senior stakeholders + Collaborate with cross-functional teams ... is a key strategic role supporting performance and profitability on the Aetna pharmacy team by driving high-performance pharmacy management across all Aetna… more
- The Cigna Group (Bloomfield, CT)
- …not limited to; special CMS programs, drug expense analyses and projections, financial forecasts, actuarial modeling, pharmacy network optimization ... external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This actuarial strategy role… more
- Abbott (Abbott Park, IL)
- …and analytical Benefits professional to join our US Benefits team as a Senior Manager, Benefits Strategy & Analytics. This is an exciting opportunity to shape ... goals and employee needs. **What You'll Do** As a Senior Manager on the US Benefits team, you will...evaluate plan performance, and model future costs to support financial planning and decision-making. + **Vendor & Consultant Management**… more
- WTW (San Francisco, CA)
- **Description** As a Health and Benefits Senior Associate you will contribute to a wide variety of complex projects involving the design, financing and ongoing ... significantly grow your health and benefits business acumen as well as your financial , project management and client relationship skills by working on cutting edge… more
- Molina Healthcare (New York, NY)
- … financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even ... trend analyses, and its performance on a monthly basis. + Conduct financial modeling and analysis (including trend analysis) by utilizing NetworX Modeler and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior ACA Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key ... score methodology, risk score calculation, enrollment, submissions, premiums, medical and pharmacy claims, and provider data. Incumbent is responsible for performing… more