- Centene Corporation (Queens, NY)
- …(VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing end-to-end ... position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as...as upside/downside risk, shared savings, and global capitation. + Lead a team of analysts responsible for Medicare… more
- Banner Health (Phoenix, AZ)
- …products. This role will also be responsible for the strategic development of the actuarial and healthcare economic departments. Will lead the Actuarial team ... **Primary City/State:** Phoenix, Arizona **Department Name:** Actuarial -BHN Cntr **Work Shift:** Day **Job Category:** General...Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of… more
- CVS Health (Hartford, CT)
- …that produces returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially ... unbiased reports on these issues. **Required Qualifications** + Monthly, determine required actuarial liabilities for the DCS / Med Supp businesses. + Serve as… more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning strategic ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- Point32Health (NH)
- …physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a team who negotiates contracts including risk ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Director , Health Plan Expert, Market Access Insights and Solutions **Location:** US Remote **About the Job** The ** Director , Health Plan Expert, ... through new PBM models, channel disruptors and their sustainability. + Lead strategic initiatives that directly influence PBM rebate policies and vendor… more
- AbbVie (Mettawa, IL)
- …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... organization will lead the financial assessment of payer contracting via data...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Lead Actuary provides support across a broad range of actuarial , managerial, and ... business needs for Medicaid-specific product lines. The Lead Actuary will serve as a project manager in...on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and… more
- Molina Healthcare (Cincinnati, OH)
- …oversight of processes that track, evaluate, and submit encounter deletions for Medicare Advantage, ACA, and Medicaid lines of business. This role has ... multiple organizational functions - Payment Integrity, Claims, Encounters, Finance, and Actuarial + Proven experience in managing complex projects, including the… more