- WTW (Arlington, VA)
- **Description** As a Health and Benefits Financial / Actuarial Director , you will serve as the financial lead for large, complex client assignments. You'll ... leverage your experience as a benefits financial / actuarial expert to make strategic recommendations on funding, plan design and innovative financial … more
- CVS Health (Washington, DC)
- …pricing strategies. This role requires a strong understanding of regulatory frameworks, actuarial modeling, and healthcare economics. The candidate needs to be ... with senior leadership and external stakeholders. **Required Qualifications** + 8+ years Actuarial Experience, preferably in the Healthcare Industry. + 5+ years… more
- Elevance Health (Washington, DC)
- …be considered._ The ** Director & Actuary II** is responsible for directing actuarial research required to identify and solve actuarial problems for a region. ... ** Director & Actuary II** **Location** : _This role...**How you will make an impact:** + Manages actuarial model development and maintenance. + Manages actuarial… more
- Elevance Health (Ashburn, VA)
- ** Director II Provider Economics - Value-Based Specialty Care** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director II, Provider Economics** , will lead strategic analytics and payment design… more
- Evolent (Washington, DC)
- …(Required):** + Bachelor's degree, preferably with a quantitative major (eg actuarial , statistics, operations research, mathematics, economics) or healthcare ... advanced/statistical analysis, and data manipulation + Knowledge of health insurance financial business cycle, healthcare quality reporting, and benchmarking +… 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)
- …community and help us put health first** The Strategy Advancement and Operations Director for Home-Based Care Programs is a critical leadership role responsible for ... (and Conviva Senior Primary Care's) highest need and complexity patients. The Director is response for the strategic direction, execution and ongoing management of… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Director , Risk Adjustment oversees the outcomes and operations of risk adjustment across the organization within Medicare ... Advantage, Medicaid & ACA markets. The Risk Adjustment Director is responsible for strategic direction, leadership, establishing and maturing key function,… more
- Prime Therapeutics (Washington, DC)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation...**Reporting Structure** + Reports to Senior Principal or Senior Director in the Finance department Potential pay for this… more
- TEKsystems (Reston, VA)
- Description JOB TITLE: Financial Modeling Analysis SME Pharmacy Finance Actuarial This role provides critical support for financial modeling and forecasting ... organization remains financially resilient and strategically prepared. - Develop predictive financial models and translate actuarial insights into decision-ready… more