- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst ...complex projects related to risk adjustment analytics in the Medicare Advantage line of business. **How You… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... member of the senior markets pricing team, within the Actuarial & Analytic Services department. This role provides the...BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker… more
- CVS Health (Austin, TX)
- … actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business. This position will ... results. \#AetnaActuary Required Qualifications + 1+ years experience in an actuarial and/or analytical role. + Healthcare industry experience required. + Successful… more
- UPMC (Pittsburgh, PA)
- …of topics affecting the financial performance of the health plan; assist with reconciling Medicare Advantage Part C and Part D claims data to financials; analyze ... changes; develop assumptions, project costs and monitor emerging experience of Medicare Advantage Mandatory Supplemental Benefits including, but not limited… more
- Centene Corporation (Providence, RI)
- …and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role ... in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion… more
- Molina Healthcare (Roswell, NM)
- …proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the ... trends in risk adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst … more