- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. Position Summary: The consultant in this role is a key member of the senior markets pricing team, within the Actuarial & Analytic Services department. ... to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets...various projects relating to complex issues and trends in Medicare Markets (such as pricing … more
- Prime Therapeutics (Boston, MA)
- …as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request For ... questions regarding actuarial data and concepts + Provide strategic pricing advice on structures and methodology using market...in a healthcare organization or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of… more
- Humana (Boston, MA)
- …Humana's value-based contracts and trend bender initiatives. + Maintain commercial parity pricing with national providers in key commercial markets . + Manage ... health first** Humana is a $100+ billion (Fortune 38) market leader in integrated healthcare with a clearly defined...of Humana's Insurance Business. This position reports to the Senior Vice President, Provider Experience and will lead an… more
- Humana (Boston, MA)
- …recommendations. + Present complex analytical findings and model outputs to senior leaders and non-technical stakeholders, focusing on clear data storytelling. + ... and maintain advanced analytical tools and dashboards to track prescription volume, market share, retention, and benefit design outcomes. + Collaborate closely with… more