- WTW (Atlanta, GA)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) ... by working across different client profiles and roles, including leading clients' financial / actuarial engagements for a portfolio of small clients or managing… more
- WTW (Atlanta, GA)
- **Description** As a Health and Benefits Financial / Actuarial Director, you will serve as the financial lead for large, complex client assignments. You'll ... leverage your experience as a benefits financial / actuarial expert to make strategic recommendations on...skills + Superior ability to influence and collaborate with senior management and work across all levels of an… more
- CVS Health (Atlanta, GA)
- …Qualifications** + Passed at least 2 actuarial exams. + 1+ years of actuarial experience in a healthcare setting. + 1 year experience in analytic experience ... all with heart, each and every day. **Position Summary** Support CVS Health's financial integrity with sound reserving and risk management practices as well as… more
- Molina Healthcare (Atlanta, GA)
- …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Atlanta, GA)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership + Generate… more
- Molina Healthcare (Atlanta, GA)
- …of these processes. This is a non-traditional role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. ... responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this...related to medical care costs. + Design and perform actuarial studies related to medical care costs and trends.… more
- Guidehouse (Atlanta, GA)
- …Access, SAS or R, and/or SQL + Strong knowledge of and application of healthcare research resources + Understanding of market/ financial analysis in context of ... **Friday, Nov. 7** **What You Will Do** **:** Guidehouse's State Health Actuarial team strives for a more resilient and sustainable community health infrastructure… more
- Guidehouse (Atlanta, GA)
- …Access, SAS or R, and/or SQL + Strong knowledge of and application of healthcare research resources + Understanding of market/ financial analysis in context of ... **Friday, Nov. 7** **What You Will Do** **:** Guidehouse's State Health Actuarial team strives for a more resilient and sustainable community health infrastructure… more
- Molina Healthcare (Atlanta, GA)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Molina Healthcare (Atlanta, GA)
- …provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired + Multiple ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …**Description** The Senior Director of Finance will serve as the financial leader of the Emory Health Plan, a self-funded health benefits program serving ... health systems. + Deep knowledge of health plan operations, claims analysis, actuarial principles and healthcare finance. + Demonstrated ability to lead… more
- Elevance Health (Atlanta, GA)
- ** Senior Healthcare Economics Analyst** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... This position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst** (Advanced Analytics Analyst Senior )… more
- AIG (Atlanta, GA)
- …and service a profitable book of miscellaneous medical facilities and allied healthcare business. + Utilize underwriter authority in accordance with the published ... and work collaboratively with other aligned business functions including claims, actuarial , and consulting. + Work alongside our Distribution Partners, (Business… more
- Elevance Health (Atlanta, GA)
- …service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare actuarial analytics preferred. + ... predict, classify, quantify, and/or forecast business metrics. The **Advanced Analytics Analyst Senior ** will be responsible for analyzing healthcare cost data,… more
- Prime Therapeutics (Atlanta, GA)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation… more
- Molina Healthcare (Atlanta, GA)
- …**Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and recommendations ... relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering,… more
- CVS Health (Atlanta, GA)
- …strategic alignment + Assist in tracking and communicating pharmacy and Medical Rx financial performance to senior stakeholders + Identify and implement process ... Bachelor's degree along with 10+ years of experience in healthcare strategy, finance, actuarial analysis, or related...related fields + ASA credential or equivalent experience in actuarial or financial modeling + Excellent communication… more
- CVS Health (Atlanta, GA)
- …will need Minimum Requirements** Bachelor's degree along with 3+ years of actuarial experience Prior healthcare experience is required Strong technical skills; ... heart, each and every day. **Job Description Summary** Support CVS Health's financial integrity through support of the Commercial Health Plan pharmacy business. This… more
- CenterWell (Atlanta, GA)
- …put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely information ... and works directly to support business intelligence. Evaluates industry, economic, financial , and market trends to forecast the organization's short, medium and… more
- Humana (Atlanta, GA)
- …Finance Lead collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. Humana is seeking to fill a Market ... Advantage line of business. The Market Finance Lead supports all Market Financial , Administrative, Product, Claims and trend analytics. This position is the team… more