- 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
- 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
- Elevance Health (Columbus, OH)
- …faith-based, community-based, and special needs initiatives. + Oversee Stars and Risk Adjustment performance and local market strategies with providers ... **RVP & President Medicare Market (Ohio)** **Location:** This role requires the...through on performance metrics. + In collaboration with Product, Actuary , and Finance, lead the annual bid strategy, process,… more
- Elevance Health (Morristown, NJ)
- …faith-based, community-based, and special needs initiatives. + Oversee Stars and Risk Adjustment performance and local market strategies with providers ... **RVP & President Medicare Market (Northeast Region)** **Location:** This role requires...through on performance metrics. + In collaboration with Product, Actuary , and Finance, lead the annual bid strategy, process,… more