• Associate Actuary - Medicaid Trend

    Humana (Trenton, NJ)
    …team, you will play a critical role in identifying, quantifying, and explaining healthcare cost and utilization trends. The Associate Actuary works together with ... help us put health first** We are seeking a highly motivated Associate Actuary to join our Medicaid trend analytics team. Evaluates economic, financial, and market… more
    Humana (07/25/25)
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  • Actuary , Valuation

    Humana (Trenton, NJ)
    …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 required ... reserves for monthly, quarterly, and annual financial statement reporting. The Actuary , Valuation works on problems of diverse scope and complexity ranging… more
    Humana (07/18/25)
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  • Actuary , Risk and Compliance

    Humana (Trenton, NJ)
    …part of our caring community and help us put health first** The Lead Actuary , Risk and Compliance is responsible for the overall management and oversight of ... develops and recommends controls and cost-effective approaches to minimize risks. The Actuary , Risk and Compliance works on problems of diverse scope and complexity… more
    Humana (07/30/25)
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  • Associate Actuary

    Humana (Trenton, NJ)
    …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
    Humana (07/31/25)
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  • Associate Actuary - Primary Care…

    CenterWell (Trenton, NJ)
    …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
    CenterWell (07/16/25)
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  • Associate Actuary - Medicaid Trend

    Humana (Trenton, NJ)
    …caring community and help us put health first** The Associate Actuary , Analytics/Forecasting ensures data integrity by developing and executing necessary processes ... benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also...our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
    Humana (07/25/25)
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  • Senior Actuary - Medicare Part D

    CVS Health (Blue Bell, PA)
    …ASA (Assoicates of the Society of Actuaries) or near ASA + Prior healthcare experience + Experience with Microsoft Office suite, especially Excel + Experience ... working with large and detailed data sets + Strong communication and collaboration skills + Solid technical/analytical skills and attention to detail Preferred Qualifications + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience with… more
    CVS Health (05/16/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …+ Previous involvement with complex and unique issues and proficiency in the healthcare industry + Credentialed Actuary (FSA/ASA) or Advanced Degree (MBA) ... Language (Other than English): None Travel Requirement: 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from… more
    Highmark Health (07/30/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Trenton, NJ)
    …include Advanced Analytics, Contracting, Market and Provider support teams, Actuary , Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL ... all lines of business with the goal of maximizing quality while reducing healthcare costs. Develops and maintains a 3-5 year strategic roadmap outlining current and… more
    Highmark Health (07/30/25)
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  • Corporate Director Network Strategy

    AmeriHealth Caritas (Newtown Square, PA)
    …with business development, product leadership, medical management, pricing and actuary , provider performance programs, and local provider network resources to ... Experience** + At least ten (10)+ years of progressively responsible experience in healthcare with a minimum of five (5) years managed care network related… more
    AmeriHealth Caritas (07/27/25)
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