- Molina Healthcare (Tampa, FL)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Centene Corporation (Charleston, WV)
- …pricing and risk assessment to estimate outcomes. **In this Sr. Actuarial Analyst role, you will:** + Support ** Medicare Advantage bid development** , ... us and take the next exciting step in your actuarial career!** We're looking for motivated actuarial ...Role Stands Out:** + **High-Impact Work** : Lead critical Medicare Advantage bid initiatives with visibility across senior… more
- Prime Therapeutics (Montgomery, AL)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior ... Analyst is responsible for providing complex actuarial and pricing analyses to Prime's existing and potential...Medicare and Medicaid). This role will also provide actuarial support in complex projects that are highly visible… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- AbbVie (Mettawa, IL)
- …channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders ... Qualifications + Bachelor's degree or foreign academic equivalent in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field of study,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more