- BlueCross BlueShield of North Carolina (NC)
- …development of go-to-market strategies. + Develop and maintain actuarial models to support the Medicare Advantage Part D bid process + Provide proactive and ... **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare...about making health care better for all. Help us lead the charge for better health care by joining… more
- Health First (Rockledge, FL)
- …of risk, regulatory changes, and their impact. 6. Facilitate the timely submission of the annual Medicare bid to CMS and form and rate filings with the OIR. Work ... In coordination with Health First Inc. this individual will lead the team to educate the Health Plan associates...field. *Work Experience: * Five years of health plans Medicare Advantage & Individual & Family plans,… 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
- 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 ... related Part C and Part D reporting requirements for Medicare . + Has lead responsibility for preparation...plans. Martin's Point also administers two health plans: Generations Advantage ( Medicare Advantage plans available… 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
- New York State Civil Service (Queens Village, NY)
- …in the development of behavioral/treatment plans;* Participate in and lead individual, family and group counseling sessions;* Provide administrative supervision ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- New York State Civil Service (Tupper Lake, NY)
- …a Direct Support Assistant, you would help individuals with developmental disabilities lead richer lives. Under supervision these positions will: * Provide supports ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining eligibility.… more
- New York State Civil Service (Queens Village, NY)
- …treatment team and attend meetings for case review; * Participate in and lead individual, family and group counseling sessions; * Prepare reports and maintain a ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more
- New York State Civil Service (Binghamton, NY)
- …in the community settings* Shovels, digs ditches, and installs signs.* May lead Individuals and others in the performance of grounds and maintenance ... and maintain eligibility for full and unconditional participation in the Medicare and Medicaid programs. Continued employment will depend on maintaining… more