• Cambia Health Solutions, Inc (Portland, OR)
    …design changesWorks with Product Development, Customer Marketing, Sales, Actuarial , Marketing Communications, Business Intelligence, and other internal departments ... as benefit expert across internal departments for ongoing benefit administration.Leads the Medicare benefit design bid submission process to CMS for Medicare more
    JobGet (05/03/24)
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  • Actuarial Senior Manager

    The Cigna Group (Philadelphia, PA)
    Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
    The Cigna Group (03/28/24)
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  • Sr Mgr, Actuarial Services

    CVS Health (Phoenix, AZ)
    …convenient and affordable. Position Summary Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial Services team. ... We are seeking an actuary to support our Medicare Health Plan Clients. You will work with CVS...as the ability to develop relationships within/outside of the Actuarial Services Department. The ideal candidate will have strong… more
    CVS Health (03/17/24)
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  • Senior Actuarial Analyst *Remote

    Providence (Portland, OR)
    **Description** ** Senior Actuarial Analyst \*Remote Reporting to the Actuarial Manager VBC, Sr. Actuarial Analyst, leads and/or assists in ... or a related field. + 5 years - Healthcare actuarial /analytics experience; + Experience with writing queries in SQL...(FSA or ASA) upon hire. + Experience with Commercial, Medicare , and Medicaid revenue methodologies. **Salary Range by location:**… more
    Providence (04/10/24)
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  • SHP Actuarial Analyst Intern (remote option…

    Marshfield Clinic (Marshfield, WI)
    …support the most exciting missions in the world!** **Job Title:** SHP Actuarial Analyst Intern (remote option available) **Cost Center:** 682891378 SHP- Actuarial ... - 5:00 pm (United States of America) **Job Description:** **JOB SUMMARY** The Actuarial Analyst Intern, under the direction of a supervising actuary, assists with… more
    Marshfield Clinic (04/11/24)
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  • Product Manager - Senior

    Independent Health (Buffalo, NY)
    …benefits and commitment to diversity and inclusion. **Overview** The Product Manager - Senior is responsible for providing leadership, development and maintenance ... considering future technology, competitor products/services and regulatory environment. The Product Manager - Senior synthesizes data from a variety of sources to… more
    Independent Health (05/15/24)
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  • Senior Reimbursement Analyst

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …for internal and external use. Designated staff may focus primarily on supporting the Medicare Advantage line of business. **NATURE AND SCOPE** + This role does not ... manage people + This role reports to this job: MANAGER , PROVIDER REIMBURSEMENT + Necessary Contacts: In order to effectively fulfill this position the incumbent must… more
    Blue Cross and Blue Shield of Louisiana (04/22/24)
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  • Albany Government Health Actuary Manager

    Deloitte (Stamford, CT)
    …Human Capital practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions ... Practice, you will assist Deloitte Senior Managers and Partners in providing strategic and technical consulting services to Federal and State governments, employer… more
    Deloitte (05/10/24)
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  • Compliance Manager

    MarketSource (Alpharetta, GA)
    121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... and lead the insurance compliance management strategy for the organization's Medicare Advantage sales program including carrier compliance, and multi-carrier *… more
    MarketSource (05/06/24)
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  • Director, Pharmacy and Clinical Consulting

    Premera Blue Cross (Mountlake Terrace, WA)
    …aimed at quality pharmaceutical care, and stays abreast of pharmacy benefits manager and payer industry environment. + Collaborate on the development and ... provider groups. + Develop and maintain effective relationships with actuarial , health care economics, sales, corporate communications, operations, product strategy… more
    Premera Blue Cross (05/09/24)
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  • Head of Quality Assurance & Compliance, Claims…

    Axis (Red Bank, NJ)
    …handled and oversight claims handling of Program and delegated/TPA claims as well as Manager Quality File Reviews conducted by the claims managers to drive best in ... with key Axis stakeholders + Assisting with maintenance of Medicare policies and procedures, monitoring, summarizing, tracking compliance objectives and… more
    Axis (03/22/24)
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