- Essen Medical Associates (Bronx, NY)
- … Ventures to develop and commercialize our technology innovations Job Summary Position Title: Actuary Associate Level l Job Summary: Essen Health Care has a ... Overview Company Overview: Essen Health Care is a growing community healthcare network provides high quality, compassionate, and accessible medical care to some of… more
- CVS Health (Hartford, CT)
- At CVS Health , we're building a world of health ...heart, each and every day. Position Summary: The AVP, Actuary - Medicare Part D is responsible for ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we… more
- The Cigna Group (Bloomfield, CT)
- … Part D market + Lead studies to aid in identification of gaps in the Medicare Part D Prescription Drug Health market to aid in development of strategies to ... map to optimize Part-D revenue optimization and cost-reduction strategies for Medicare Part D Health Plans: PDP, MAPD, and Special Needs Program (SNPs) + Review… more
- CVS Health (Hartford, CT)
- …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 ... At CVS Health , we're building a world of health...to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work… more
- CVS Health (Hartford, CT)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...for a Senior Manager, Actuarial who will support the Medicare Network. They will work to understand Network Actions… more
- Humana (Albany, NY)
- **Become a part of our caring community and help us put health first** The Actuary , Valuation is responsible for estimates of short term and long term reserves ... for monthly, quarterly, and annual financial statement reporting. The Actuary , Valuation works on problems of diverse scope and...**Preferred Qualifications** + 5 or more years of relevant health -related actuarial work experience + 1 or more years… more
- St. Luke's Health System (Boise, ID)
- …values cross-functional teamwork, data-driven decision-making, and a healthy work-life balance. The Health Partner's Actuary is a crucial strategic partner in ... **Overview** St. Luke's Health Partners ( Health Partners) is a...and performance optimization across all lines of business - Medicare , Medicare Advantage, Exchange, and Commercial. The… more
- CenterWell (Santa Fe, NM)
- **Become a part of our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Prime Therapeutics (Providence, RI)
- …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
- Deloitte (Tempe, AZ)
- …including proposal development and capture Qualifications Required: + 10+ years of health actuary experience and consulting and/or health plan/insurance ... and other public entities + Participate in the transformation of the health care sector through innovative actuarial solutions + Contribute to the development… more
- CareOregon (Portland, OR)
- …Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary , Senior Requisition # 24950 Exemption Status Exempt Management Level n/a ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
- Somatus (Mclean, VA)
- …for our patients and partners. **Showing Up for You** We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates learn, grow, and be the best ... opportunities + And more! **About the Role** The Deputy Actuary provides management and leadership actuarial reporting. Responsibilities **Essential Duties… more
- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Actuary Exemption Status Exempt Department Finance Manager Title Actuarial Services Manager ... cost and utilization trend analysis, return on investment evaluations, Medicare bid development, rate setting optimization, forecasting support, benchmarking, risk… more
- Cleveland Clinic (Cleveland, OH)
- …change management methodologies. + Designation of ASA or FSA - Associate Society of Actuary 's or Fellow Society of Actuaries + Medicare advantage experience from ... which includes among other benefits, healthcare/dental/vision and retirement. Cleveland Clinic Health System is pleased to be an equal employment employer: Women… more
- Martin's Point Health Care (Portland, ME)
- …and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) rate negotiations with ... Join Martin's Point Health Care - an innovative, not-for-profit health...environment. Job Description Key Outcomes: + Support the annual Medicare Advantage and Prescription Drug (MA/PD) bid development by… more
- Centene Corporation (Madison, WI)
- …one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national ... . If you're already an ASA or FSA, please see our Associate or Actuary openings. **Position Purpose:** Assist in financial analysis, pricing and risk assessment to… more
- Highmark Health (Pittsburgh, PA)
- …for risk revenue management for all government program products (commercial ACA, Medicare , and Medicaid). Establishes the strategic direction for the Risk Revenue ... and accurate diagnosis coding for risk adjusted government programs ( Medicare Advantage, ACA business, and Medicaid). Also work with...degree + Ten or more years' work experience in health care with emphasis on analysis and process optimization… more
- Elevance Health (Norfolk, VA)
- Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, ... trends throughout Virginia, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products. + Develops new provider… more
- Highmark Health (Buffalo, NY)
- …of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
- Rush University Medical Center (Chicago, IL)
- …Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Rush Health Contracting **Work Type:** Full Time (Total FTE between 0.9 and 1.0) ... Offers may vary depending on the circumstances of each case. **Summary:** Rush Health is a clinically integrated network of physicians and hospitals working together… more
