- Martin's Point Health Care (Portland, ME)
- …on estimates for Risk Revenue. Monitor changes and updates to the risk adjustment approach employed by CMS. + Prepare and analyze monthly estimates ... **NEW SEARCH** Stellar opportunity for an ASA or FSA Actuary with a breadth of experience! Join a dynamic...for Medicare Part D Risk Corridor and Coverage… more
- Deloitte (Colorado Springs, CO)
- …experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1 year +experience with risk adjustment mechanisms + 1 year + experience with health care reform ... 5, 2024 Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and...small group markets + 1 year + experience with Medicare products, including Medicare Advantage or … more
- Somatus (Mclean, VA)
- …physician groups, etc.) **Knowledge, Skills, and Abilities** **:** + Strong understanding of Medicare risk adjustment and revenue data + Expert proficiency ... opportunities + And more! **About the Role** The Director, Actuary role will join the Somatus Actuarial Services and...+ Develop and maintain valuation models, including IBNR and risk adjustment accrual models + Develop and… more
- UPMC (Pittsburgh, PA)
- …following fields: value-based contracting, pricing, reserving, trend/health economics, provider network analysis, risk adjustment , etc + FSA or ASA This role can ... **UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of mathematics,… more
- Deloitte (Albany, NY)
- …with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + 1+ years experience with risk adjustment mechanisms + 1+ years experience with Provider reimbursement streams ... practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and...and small group markets + 1+ years experience with Medicare products, including Medicare Advantage or … more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …experience, a complete understanding and experience with the MA STARs and Risk Adjustment programs, analytical and critical thinking skills, independent ... business leaders to improve the financial performance of BCBSLA's Medicare Advantage (MA) Line of Business (LOB).This is a...of medical trend analysis and the CMS STARs and Risk Adjustment programs required **Skills and Abilities**… more