- WTW (Arlington, VA)
- **Description** As a Healthcare Delivery Senior Associate you will contribute to a wide variety of complex analyses and projects involving the design and ... evaluation of employer health and group benefit programs, with a focus on healthcare delivery strategies aimed to improve the value and quality within health… more
- WTW (Arlington, VA)
- … financial , and/or risk solutions + Provides consulting quality reviews and client delivery for all types of financial / actuarial deliverables + Guides ... success in the delivery of complex health and welfare financial / actuarial strategies and analysis in a consulting or brokerage environment + Proven… more
- WTW (Arlington, VA)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community ... by working across different client profiles and roles, including leading clients' financial / actuarial engagements for a portfolio of small clients or managing… more
- Elevance Health (Washington, DC)
- …impact:** + Manages actuarial model development and maintenance. + Manages actuarial data delivery and support. Conducts experience analysis. + Lead ... The **Director & Actuary II** is responsible for directing actuarial research required to identify and solve actuarial...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Evolent (Washington, DC)
- …functions; partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial , EDWBI, Clinical, Performance Solutions and Partner Delivery ... (Required):** + Bachelor's degree, preferably with a quantitative major (eg actuarial , statistics, operations research, mathematics, economics) or healthcare … more
- CareFirst (Baltimore, MD)
- …reconciliation across PBM relationships and vendor platforms. Partner with Finance and Actuarial to identify, assess, and mitigate financial discrepancies and ... actuarial , legal, and procurement teams to support ongoing financial modeling, renewals, audits, and contract negotiations. Cross-Functional Leadership and… more
- CenterWell (Washington, DC)
- …arrangements. This role will focus on improving current clinical care delivery , operational efficiency, and patient outcomes in existing markets while advancing ... technology, and finance teams to optimize program design, enhance care delivery , and drive measurable outcomes. For programs driven via vendor partnerships,… more
- Deloitte (Arlington, VA)
- …underwriting and other areas of health care finance + CEBS Designation or Actuarial credentials. + In-depth experience with healthcare and pharmacy benefit ... Review of health plan renewals including assisting in rate negotiation, and analyzing financial terms for both medical and pharmacy + Prepare financial … more
- Elevance Health (Ashburn, VA)
- …programs for autism and depression, and insightful analytics to improve the delivery of care. The **Provider Network Manager** develops the provider network through ... specialties. + Conducts more complex negotiations and drafts documents. Prepare financial projections and conduct analysis. **Minimum Requirements:** + Requires a… more
- CareFirst (Baltimore, MD)
- …provider intervention close Risk Adjustment gaps. Support the development and delivery of enterprise-wide training and awareness materials that educate associates ... CareFirst's VP of Enterprise Quality & Risk Adjustment, Finance, Actuarial , and P/L owners of Lines of business in...Lines of business in bid filings, regulatory filings, and financial performance planning & reporting. + Forge relationships with… more