- Elevance Health (Indianapolis, IN)
- …complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... our Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The ** Actuarial Analyst III** will complete very diverse and complicated projects… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking ... all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of… more
- CVS Health (Overland Park, KS)
- …make health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a ... analytics , data management, business intelligence, business operations and actuarial science **Required Qualifications:** + 5+ years of experience with Google… more
- CVS Health (Columbus, OH)
- …and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial Services team. We are seeking ... our Medicare Health Plan Clients. You will work with CVS Caremark Medicare Health Plan clients, providing guidance and analytics , including consultations on… more
- The Cigna Group (Bloomfield, CT)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid ... is expected to be the largest focus for the manager in the medium and long term. This individual...Given the close partnership between this team and the Actuarial Pricing and Reserving teams, an actuarial … more
- AbbVie (San Juan, PR)
- …and LinkedIn. Job Description As a key member of the Contract Analytics team, this individual will closely collaborate with internal stakeholders from Finance, ... current products, as well as future pipeline products. The Contract Analytics function focuses on improving the effectiveness of pharmaceutical contracting efforts… more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more
- Mount Sinai Health System (New York, NY)
- …with stakeholders from across the organization to develop sophisticated analytics to provide information, insights and BI (Business Intelligence) solutions ... degree preferred. + 2 years minimum is preferred in analytics development expertise, preferably in health care, or for...Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR,… more
- Mayo Clinic (Rochester, MN)
- …functional areas can include Pricing/Chargemaster, Medicare Reimbursement, Actuarial Science, Payment Reform, and Reimbursement/Revenue Analytics . ... or process with large financial impact to organization and requiring manager -level capabilities. Participates in the identification of opportunities to improve… more