- CVS Health (West Hartford, CT)
- …provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work with ... exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP and PDP Products.… more
- CVS Health (Hartford, CT)
- …provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work with ... government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD,...attention to detail Preferred Qualifications + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience… more
- Deloitte (Tempe, AZ)
- …working knowledge of the individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or Medicare ... development and capture Qualifications Required: + 10+ years of health actuary experience and consulting and/or health plan/insurance company experience + 5+… more
- CenterWell (Santa Fe, NM)
- …on continuously improving consumer experiences **Preferred Qualifications** + Experience with Medicare Advantage + Experience with member level claims Travel: ... our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to… more
- Martin's Point Health Care (Portland, ME)
- …a matrix management environment. Job Description Key Outcomes: + Support the annual Medicare Advantage and Prescription Drug (MA/PD) bid development by working ... and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) rate negotiations with the… more
- Somatus (Mclean, VA)
- …actuarial reporting. Responsibilities **Essential Duties and** **Responsibilities:** + Analysis of Medicare Advantage and Accountable Care Organization data. + ... KPIs indicate that results are not as expected. + Medicare Risk score projections and Premium estimation. + Design...a minimum of 5 years of experience in a senior leadership financial role at a publicly traded, muti-market… more
- Cleveland Clinic (Cleveland, OH)
- …- Associate Society of Actuary 's or Fellow Society of Actuaries + Medicare advantage experience from an insurance company Our caregivers continue to create ... complex business problems and analyze large, unstructured data sets. Assists senior /lead data scientist or project lead on advanced analytic requests. Provides… more
- Highmark Health (Pittsburgh, PA)
- …to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs ( Medicare Advantage , ACA business, and Medicaid). Also work with Care ... for risk revenue management for all government program products (commercial ACA, Medicare , and Medicaid). Establishes the strategic direction for the Risk Revenue… more
