- CVS Health (Blue Bell, PA)
- …all with heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Actuary - Medicaid Network who will be support the actions on Medicaid ... Network Insights for this important line of business. This is an entirely Medicaid focused role surrounding delivering on our overarching Medicaid network strategy; it is inclusive of target network development in new geographies, and development of networks… more
- CVS Health (Blue Bell, PA)
- …do it all with heart, each and every day. **Position Summary** We are seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with ... Part C pricing. More specifically, this role will be responsible for the following: + Developing the underlying pricing factors and assumptions used in pricing Part C + Maintaining existing and developing new pricing tools + Conducting ad hoc pricing studies… more
- CVS Health (Blue Bell, PA)
- …Accountable Care Organizations (ACOs), and other Value Based Contracts (VBCs). Network Actuary key responsibilities will include: + Provide support of the ACO and ... narrow network pricing for all Commercial market segments (IFP, Small, Select/Key, National, Public & Labor). This includes performing annual rate reviews in partnership with the Commercial Actuarial market actuaries for existing ACOs as well as participating… more
- CVS Health (Blue Bell, PA)
- …making on pricing and long term, sustainable earnings growth. + Interface with senior leadership, describing detailed and intricate data in a way that can be ... skills. + Leading change, developing new content to inform and influence senior business leads and relevant stakeholders **Requirements:** + Bachelor's degree along… more
- CVS Health (Blue Bell, PA)
- …Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare ... Part D product strategy and pricing of MAPD, SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve optimal outcomes within the… more
- CVS Health (Blue Bell, PA)
- …As a member of the Commercial Pharmacy Actuarial team, this position is responsible for developing pharmacy trend forecasts for Commercial and Exchange fully insured ... and AFA businesses, robust analysis of monthly financial results, and ensuring the integrity of pharmacy pricing strategy. Will lead a team of 3 - 4 analysts with a focus on: + Reducing underlying costs by optimizing discounts, formulary, clinical programs,… more
- Insight Global (West Trenton, NJ)
- Job Description - As an Associate Actuary , you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... Potential projects include the following: - Perform pricing studies to evaluate the profitability of our Auto and Homeowners insurance products. Present results to the Executive Leadership Team (ELT) - Analyze rating variables and recommend pricing changes -… more
- Prime Therapeutics (Trenton, NJ)
- …existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the ... our passion and drives every decision we make. **Job Posting Title** Principal Actuary Forecasting - REMOTE **Job Description** The Principal Actuary is… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Lincoln Financial (Radnor, PA)
- …74236 **The Role at a Glance** We're excited to bring on an AVP & Actuary - Life Product Development. In this role you will provide comprehensive actuarial analysis ... and strategic recommendations to senior leadership for your assigned area(s). You will play...collaborating across multiple departments. Additionally, you will engage with Senior Management to ensure that product differentiation, innovation and… more
- Lincoln Financial (Radnor, PA)
- …for this opportunity. **Requisition #:** 74469 **The Role at a Glance** As an Actuary on the Life Financial Planning team, you will work with a highly collaborative ... an integral role in providing insights and analyses to senior management and other key business partners that help...for a variety of audiences, up to and including senior leadership **What we're looking for** **_Must have:_** +… more
- CVS Health (Blue Bell, PA)
- …Responsibilities include: + Manage medical Rx trend reporting that provide senior leadership standardized, meaningful, and transparent reporting into performance of ... formal cadence to value and review initiatives and communicate succinctly to senior leaders on valuation **Required Qualifications** - Bachelor's degree along with… more
- The Cigna Group (Philadelphia, PA)
- …analyses in simple and digestible data driven takeaways to internal and external senior leadership teams preferred If you will be working at home occasionally or ... permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 109,400 - 182,300 USD /… more
- WTW (Philadelphia, PA)
- **Description** WTW is looking for a pricing actuary with personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance ... Practiced in managing complex projects and delegating work to senior and junior colleagues + Available to travel as...and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred… more
- CVS Health (Trenton, NJ)
- …heart, each and every day. **Position Summary** Aetna is recruiting for a Senior Manager, Value Based Contractor who will partner with business development and ... enterprise scaling. . Serve as a liaison among internal customers, operations, actuary , product, and analytic teams to ensure reimbursement initiatives meet the… more
- Humana (Trenton, NJ)
- …of situations or data requires an in-depth evaluation of variable factors. The Senior Market Finance Professional works with Actuary , MRA, Corporate Finance, ... a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data to connect… more
- Lincoln Financial (Radnor, PA)
- …techniques in AXIS + Partner with external stakeholder groups including: Valuation Actuary , Appointed Actuary , Qualified Actuary , Finance, Accounting, Audit, ... strategic decision making by providing modeling expertise and thought leadership to senior leadership and peer level stakeholders across the company + Introduce and… more
- Humana (Trenton, NJ)
- …across segments and/or enterprise wide. **Key Responsibilities** As the Appointed Actuary , the Associate VP, Actuarial Valuation partners with Finance for internal ... "Specific" qualification standards, with extensive experience (typically 10+ years) as an Actuary in the healthcare industry. Experience as an Appointed Actuary … more
- Highmark Health (Trenton, NJ)
- …process engineering, and metrics design. The incumbent works closely with senior /executive leadership, Physicians and technical staff within the Enterprise and ... the Enterprise (both Highmark and Highmark Health), including CFO, EVP, Chief Actuary , and Vice President, on project status including program strategy, performance,… more