- CareOregon (Portland, OR)
- …This includes analyzing Medicaid capitation rates, overseeing the actuarial components of the Medicare Advantage bid pricing, and analyzing historical and ... rates. + Oversee and coordinate external actuarial consultant's work preparing the annual Medicare Advantage bid ; advise internal leadership on potential … more
- CareFirst (Baltimore, MD)
- …product performance, forecast sales and membership in line with growth objectives, in the Medicare Advantage Bid process annually, the cost and utilization ... (strategy, design, execution, and optimization) for products and plans in the Medicare , Medicaid, and Federal Employee Health Benefits categories. Leads the team in… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Manages a ... financial or growth metrics as defined in the MA bid and annual operating plan (AOP). **_This position has...+ 3 years' experience working with healthcare products/programs, preferably Medicare Advantage or government programs. + Proven… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- … process, Blue-to-Blue conversion (age-in) initiatives. Product portfolio includes: Direct Pay Medicare ( Medicare Advantage Prescription Drug Plan, ... of product, marketing, sales, and operations business plans + Lead Medicare Integrated Medicare Market...Ensure timely submission of fully substantiated rate and policy bid and form filings to CMS and DOI +… more
- Henry Ford Health System (Troy, MI)
- …quantitative discipline is required. + Experience: Minimum of five (5) years of experience in Medicare Advantage and Drug plan bid filing or Commercial or ... actuaries. This is a true leader who will own Medicare strategy, lead an exceptional team, and...their roles and contribute to overall organizational success. + Medicare Advantage Plan Development: Develop a proficient… more
- Providence (AK)
- …or Associate in the Society of Actuaries (FSA or ASA) + Experience certifying the Medicare Advantage Bid + Experience with Commercial, Medicare , and ... is calling a Manager Actuarial Analytics who will:** + Lead the review of Medicaid capitation rate assumptions and...5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid … more
- Martin's Point Health Care (Portland, ME)
- …Advantage (GA) leadership and EMT, analyze, develop, and submit Medicare Advantage and Prescription Drug (MA/PD) plan Bid Pricing Tools (BPTs) in ... Finance related Part C and Part D reporting requirements for Medicare . + Has lead responsibility for preparation and presentation of annual Healthplan LOB's… more