- Centene Corporation (Cheyenne, WY)
- …This critical role focuses on the financial engineering, analysis, and negotiation of Value - Based Care (VBC) arrangements with external vendors across our ... Medicare, Medicaid, and ACA lines of business. **In this Actuary role, you will:** + Apply knowledge of mathematics,...business to design, model, financially engineer, and evaluate complex Value - Based Care (VBC) financial arrangements… more
- McLaren Health Care (Flint, MI)
- …Health Plan is our Michigan- based health plan dedicated to meeting the health care needs of each of our Michigan members. Learn more about McLaren Health Plan at ... We are looking for an Actuary to join us in leading our organization...Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture of… more
- Dignity Health (Bakersfield, CA)
- …that advance CommonSpirit Health's strategy to transform care delivery through value based care . Working in partnership with CommonSpirit Payer ... Health Actuary is responsible for post-negotiation capitation and value - based agreement analytics including routine forecasting and monitoring activities… more
- Prime Therapeutics (Carson City, NV)
- …our passion and drives every decision we make. **Job Posting Title** Principal Actuary - REMOTE **Job Description** The Principal Actuary is responsible for ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through ... innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will support key organizational goals… more
- Aflac (NY)
- Actuary II The Company: Aflac Incorporated The Location: NY, US GA, US The Division: Corporate Actuary Job Id: 7835 Salary Range: $80,000 - $100,000 Job Posting ... achieves results, personally and through others that contribute business value . Develops actions that lead to stated business goals.... Develops actions that lead to stated business goals based on actuarial or financial findings. + Develops Self… more
- Aflac (GA)
- Actuary I The Company: Aflac Incorporated The Location: GA, US The Division: Corporate Actuary Job Id: 7786 Salary Range: $65,000 - $80,000 Job Posting End Date: ... achieves results, personally and through others that contribute business value . Develops actions that lead to stated business goals.... Develops actions that lead to stated business goals based on actuarial or financial findings. + Makes Effective… more
- Cleveland Clinic (Cleveland, OH)
- …work alongside passionate caregivers and make a lasting, meaningful impact on patient care . Here, you will receive endless support and appreciation while building a ... is a caregiver supporting our mission to provide world-class patient care . Utilizes statistical and machine learning techniques, high-performance data architectures… more
- Deloitte (Tempe, AZ)
- …product design and/or product strategy + Experience with reimbursement models - including value based care /ACO modeling + Successful marketing ability in ... entities + Participate in the transformation of the health care sector through innovative actuarial solutions + Contribute to...initiatives + Facilitate the transition of payment models from service- based to value - based frameworks +… more
- Somatus (Mclean, VA)
- …and shared savings forecasting models used in the corporate planning/reporting process. + Value based care contracting support and ongoing financial and ... experience in a senior leadership financial role at a publicly traded, muti-market insurer, value - based care provider, or consulting. + Bachelor's degree in… more
- Somatus (Mclean, VA)
- …involving the contracting, reserving, pricing, and financial modeling of a full array of value - based care programs for providers and payors. This role will ... **More Lives, Better Lived(R)** As the largest and leading value - based kidney care company, Somatus...+ Community engagement opportunities + And more! The Manager, Actuary role will require the ability to evaluate complex… more
- St. Luke's Health System (Boise, ID)
- …of providers improving the health outcomes of the population and lowering the cost of care through value - based care strategies. We foster a collaborative ... data-driven decision-making, and a healthy work-life balance. The Health Partner's Actuary is a crucial strategic partner in advancing the organization's financial… more
- UPMC (Pittsburgh, PA)
- …Global Capitation, Bundled Rates, Episodic Payments, Capitation, Risk Adjusted Total Cost of Care , and Value Based Payments. Build credibility and trust, ... Capitation, Bundled Rates, Episodic Payments, Capitation, Risk Adjusted Total Cost of Care , and Value Based Payments. + Build credibility and trust, enhance… more
- CVS Health (Hartford, CT)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... in strategic discussions to ensure rebate contracting strategy maximizes financial value and minimizes expected claims costs. Collaborate with business partners in… more
- AIG (Atlanta, GA)
- …Ready to set new industry standards? We would love to hear from you. #LI-CM1 # Actuary #Actuarial #Pricing At AIG, we value in-person collaboration as a vital ... and Risk Management, among other functions. As an AIG actuary , you will be challenged and encouraged to reach...with the business develop and execute on strategic actions based on actuarial analysis focusing on profitability and organizational… more
- Rush University Medical Center (Chicago, IL)
- …and Medicaid payers and negotiating managed care agreements both fee-for-service (FFS) and value based care (VBC) with these third party payers on behalf ... + Knowledge base of population health management activities and value based care delivery models...financial risk terms working in conjunction with Analytics and actuary , when needed, to develop financial risk models to… more
- Highmark Health (Albany, NY)
- …nurses and other clinical staff to assist them on their conversion to value - based care ; Dissemination and interpretation of quality and efficiency ... for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly responsible for the… more
- Highmark Health (Helena, MT)
- …the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify and ... years Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value - based reimbursement, through managed care contracting, provider… more
- Highmark Health (Wilmington, DE)
- …years of experience in the health care /health insurance industry to include value - based care and provider relations/network management + Experience with ... The incumbent is responsible for engaging entities on performance-related activities such as Value - Based Reimbursement (VBR), Stars and Risk capture, as well as… more
- Elevance Health (Nashville, TN)
- …This role will offer expert insight to the development/execution of payment innovation programs ( value - based care ) and a proven track record of relationship ... (listening) skills needed. + Proven strategic provider partnership experience. + Value - Based contracting expertise and performance management experience. +… more