• Actuary - Value - Based

    Cleveland Clinic (Cleveland, OH)
    …on advanced analytic requests. Provides guidance and insights into the daily operations of various Departments or Institutes. **A caregiver in this position works ... to define analytics and synthesize findings that address customer requirements for value generation. + Advise customers and prospects on technology and tool… more
    Cleveland Clinic (05/09/25)
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  • Health Actuary

    Dignity Health (Bakersfield, CA)
    …Health Actuary is responsible for post-negotiation capitation and value - based agreement analytics including routine forecasting and monitoring activities ... advance CommonSpirit Health's strategy to transform care delivery through value based care. Working in partnership with...increasing the number of people served. The PHSO Health Actuary is a key member of the CommonSpirit Population… more
    Dignity Health (03/20/25)
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  • Actuary - VBC / Vendor Analytics

    Centene Corporation (Cheyenne, WY)
    …critical role focuses on the financial engineering, analysis, and negotiation of Value - Based Care (VBC) arrangements with external vendors across our Medicare, ... finance and business to design, model, financially engineer, and evaluate complex Value - Based Care (VBC) financial arrangements and associated vendor contracts +… more
    Centene Corporation (05/11/25)
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  • P&C Actuary Manager

    Deloitte (Columbus, OH)
    …Business Unit leader-and that we deliver on our issues and help create value for our clients. Actuarial & Insurance Solutions Deloitte's Actuarial & Insurance ... & casualty insurance companies, health plans, and healthcare providers modernize their operations and manage actuarial costs and risks. This involves helping our… more
    Deloitte (03/05/25)
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  • Actuary , Quantitative Model…

    Equitable (New York, NY)
    Actuary , Quantitative Model Developer/Researcher ( 2500008M ) **Primary Location** : UNITED STATES-NY-New York **Organization** : Equitable **Schedule** : Full-time ... potential? We are seeking a creative, highly motivated and detail-oriented Actuary , Quantitative Model Developer/Researcher to join the Actuarial Hedging team. The… more
    Equitable (04/25/25)
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  • Manager, Actuary

    Somatus (Mclean, VA)
    Overview **More Lives, Better Lived(R)** As the largest and leading value - based kidney care company, Somatus is empowering patients across the country living ... + Community engagement opportunities + And more! The Manager, Actuary role will require the ability to evaluate complex...risk. Advise the business on contract pricing in a value - based , risk bearing environment. Contribute to a… more
    Somatus (03/26/25)
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  • Senior Actuary - VBC / Vendor Analytics

    Centene Corporation (Cheyenne, WY)
    …financial analysis, risk assessment, and negotiation support focusing specifically on ** Value - Based Care (VBC)** arrangements and performance analytics related ... finance and business to design, model, financially engineer, and evaluate complex Value - Based Care (VBC) financial arrangements and associated vendor contracts +… more
    Centene Corporation (05/07/25)
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  • Director & Assistant Actuary - Workers…

    The Hartford (Hartford, CT)
    Director & Assistant Actuary - AM06BEAD & Actuarial Associate - AS07AE We're determined to make a difference and are proud to be an insurance company that goes well ... R/SQL preferred. + General knowledge of Property and Casualty insurance operations . + Effective oral and written communications skills. + Independently motivated;… more
    The Hartford (04/17/25)
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  • Actuarial Manager Analyst, Amazon One Medical…

    Amazon (New York, NY)
    …-Support month end financial and accounting processes for relevant actuarial estimates. - Value based care contracting support and ongoing financial and risk ... Economics, or Business -Experience working with risk-bearing provider groups -Experience in value - based care, including CMS initiatives such as the Medicare… more
    Amazon (03/05/25)
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  • Provider Contracting Senior Manager, National…

    CVS Health (Columbus, OH)
    …in contracting, provider relations, provider operations and/or solutions. . Experience in Value Based Care financial models. . Experience in Risk- based ... **Position Summary** Aetna is recruiting for a Senior Manager, Value Based Contractor who will partner with...scaling. . Serve as a liaison among internal customers, operations , actuary , product, and analytic teams to… more
    CVS Health (04/17/25)
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  • Head of Pricing, North America Financial Lines

    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 ... AIG's major insurance operating companies, globally. We collaborate with Finance, Claims, Operations , Marketing and Risk Management, among other functions. As an AIG… more
    AIG (05/01/25)
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  • Reimbursement Economics Analyst

    Highmark Health (Dover, DE)
    …Inc. **Job Description :** **JOB SUMMARY** This job supports Highmark Health's Value - Based Reimbursement, Strategy & Innovation Team. The incumbent works closely ... and external customers, including but not limited to VBR team members, operations , actuary , provider relations, strategic integration and advanced analytics and… more
    Highmark Health (04/10/25)
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  • (USA) Senior Manager, Risk Management

    Walmart (Bentonville, AR)
    …Walmart's goals of providing exceptional customer experiences, growing our business, and creating value for our stakeholders. As an Actuary , you will play a ... **Position Summary ** We are seeking an experienced Actuary to join our Casualty team in supporting Walmart's risk management and insurance programs. As a key member… more
    Walmart (03/04/25)
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  • Head of Pricing - North America Accident & Health

    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 ... AIG's major insurance operating companies, globally. We collaborate with Finance, Claims, Operations , Marketing and Risk Management, among other functions. As an AIG… more
    AIG (04/08/25)
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  • Provider Transformation Specialist (RN- New York))

    Highmark Health (Albany, NY)
    …for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly responsible for the ... based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the...includes cross training in all of Organization's pay for value and value based reimbursement… more
    Highmark Health (02/18/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Columbus, OH)
    …to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify ... gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary , Finance, Highmark Health Solutions, Health Plan Operations .… more
    Highmark Health (03/04/25)
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  • Regional Vice President (RVP) Provider Solutions…

    Elevance Health (Richmond, VA)
    …will offer expert insight to the development/execution of payment innovation programs ( value - based care) and a proven track record of relationship ... healthcare field and a minimum of 10 years of experience in healthcare operations , finance, underwriting, actuary , network development, and/or sales; or any… more
    Elevance Health (05/03/25)
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  • Senior Underwriter, Midwest Region, Primary…

    AIG (Chicago, IL)
    …in each colleague - empowering our people to grow as insurance professionals and add more value to our customers and AIG. How you will create an impact + This role ... and foster business development Working collaboratively with home office, distribution, actuary , claims, loss control, premium audit, credit and legal to develop… more
    AIG (04/17/25)
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  • Regional Vice President (VP) Provider Solutions

    Elevance Health (Waukesha, WI)
    …product design (implementation), and development/oversight of all payment innovation programs ( value - based care), provider relations and primary care growth ... healthcare field and a minimum of 8 years of experience in healthcare operations , finance, underwriting, actuary , network development, and/or sales; or any… more
    Elevance Health (04/28/25)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Columbus, OH)
    …support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government ... and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as… more
    Highmark Health (03/06/25)
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