- Providence (NM)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible ... for developing and maintaining actuarial models, analyzing data, and providing strategic insights to...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of… more
- Providence (Portland, OR)
- …hire: Fellow of Society of Actuaries (FSA) + 7 years of experience in healthcare actuarial analytics + 5 years of experience in managing analytic teams + ... tasks and accomplish goals. Works well with other areas outside of the actuarial and financial analytics department to accomplish projects or assignments and… more
- Providence (Portland, OR)
- **Description** ** Senior Actuarial Analyst \*Remote Reporting to the Actuarial Manager VBC, Sr. Actuarial Analyst, leads and/or assists in developing, ... or a related field. + 5 years - Healthcare actuarial / analytics experience; + Experience with writing queries...(FSA or ASA) upon hire. + Experience with Commercial, Medicare , and Medicaid revenue methodologies. **Salary Range by location:**… more
- WellSense (Boston, MA)
- …for pricing, reserving, medical economics, financial forecasting, and/or healthcare data analytics . The Actuarial Manager collaborates with Finance teams or ... Manager of Actuarial Services WellSense Health Plan is a nonprofit...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… more
- 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 ... our Medicare Health Plan Clients. You will work with CVS Caremark Medicare Health Plan clients, providing guidance and analytics , including consultations on… more
- CareFirst (Owings Mills, MD)
- …and financial methods are used by Analysts. + Other responsibilities include: + Annual Medicare Bidding Actuarial Support + Monthly financial analysis, Part D & ... programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** ( Actuarial Member Analytics ) **Equal Employment Opportunity** CareFirst… more
- 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 ... contacts in Network Administration, IT, Medical Management, Benefits Administration, Actuarial , Legal, Executive, Marketing, and Underwriting. Providers, provider representatives,… more
- Martin's Point Health Care (Portland, ME)
- …is growing and making an impact! Apply today for immediate consideration! The Senior Risk Adjustment Analyst in our Health Plan analyzes data, reviews findings, and ... software as well as the data warehouse as key sources of data. The Senior Analyst uses their extensive content knowledge and analytical expertise to guide and… more
- Centene Corporation (Tampa, FL)
- …Drives analytics and insights related to Medicaid, Marketplace, or Medicare programs with the objective of driving consumer acquisition and retention. Key ... contributor within the Marketing Analytics team. Provides visibility into integrated campaigns performance, as well as product and consumer analytics to improve… more
- CareFirst (Baltimore, MD)
- …approach to closing gaps and risks in coding and care delivery across Medicare & Medicaid populations. Responsible for developing performance monitoring reports and ... analytics related to Risk Adjustment & Stars programs and...party vendors and internal stakeholders including Stars/Quality, Finance and Actuarial areas to optimize Risk Adjustment performance, accurate coding… more
- Universal Health Services (Reno, NV)
- …2014. Prominence Health serves members, physicians, and health systems across Medicare , Medicare Advantage, Accountable Care Organizations, and commercial payer ... patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Senior Director, Performance Improvement provides strategic leadership in the… more