• Healthcare Financial

    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
    WTW (07/08/25)
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  • Lead Director , Medicare Actuarial

    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
    CVS Health (07/01/25)
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  • Director & Actuary II

    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 (07/04/25)
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  • Director II Provider Economics…

    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
    Elevance Health (07/04/25)
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  • Director , Performance Suite Analytics

    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
    Evolent (07/09/25)
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  • Pharmacy Strategy Director (Hybrid)

    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
    CareFirst (06/13/25)
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  • Director , Strategy Advancement…

    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
    CenterWell (07/03/25)
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  • Director , Risk Adjustment (Hybrid)

    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
    CareFirst (06/19/25)
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  • Principal Actuary - REMOTE

    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
    Prime Therapeutics (06/27/25)
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  • Financial Analyst

    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
    TEKsystems (07/09/25)
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