- WTW (Milwaukee, WI)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) ... by working across different client profiles and roles, including leading clients' financial / actuarial engagements for a portfolio of small clients or managing… more
- WTW (Milwaukee, WI)
- **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...skills + Superior ability to influence and collaborate with senior management and work across all levels of an… more
- WTW (Milwaukee, WI)
- **Description** As a Healthcare Financial / Actuarial Associate Director you will be a key member of the Financial Actuarial & Analytics (FAA) ... Community of Expertise. You will lead clients' financial / actuarial engagements for a portfolio of clients and/or significantly contribute to complex clients… more
- Molina Healthcare (Milwaukee, WI)
- …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Racine, WI)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership + Generate… more
- Molina Healthcare (Milwaukee, WI)
- …of these processes. This is a non-traditional role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. ... responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this...related to medical care costs. + Design and perform actuarial studies related to medical care costs and trends.… more
- Molina Healthcare (Milwaukee, WI)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Molina Healthcare (WI)
- …provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired + Multiple ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Prime Therapeutics (Madison, WI)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation… more
- Molina Healthcare (Madison, WI)
- …**Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and recommendations ... relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering,… more
- Centene Corporation (Madison, WI)
- … staff **Highly preferred:** + Comfort explaining complex topics to non-actuaries at senior levels. + Experience pricing healthcare products. + Preferred 5+ ... health actuarial experience + In-depth experience working with healthcare pricing + Familiarity with ACA individual marketplace **Education/Experience:** +… more
- Humana (Madison, WI)
- …Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Humana is seeking to fill a Market ... Advantage line of business. The Market Finance Lead supports all Market Financial , Administrative, Product, Claims and trend analytics. This position is the team… more
- Humana (Madison, WI)
- …insights to inform product strategy. + Collaborate cross-functionally with clinical, financial , actuarial , and operational teams to develop value-added benefits ... first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our Medicaid Product...is a unique opportunity to shape the future of healthcare for vulnerable populations while contributing to Humana's mission… more