- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- The Cigna Group (Austin, TX)
- …for corporate-wide or market-specific initiatives. + Communicating results of analyses to more senior actuarial team members. + Actively participate in team and ... to work collaboratively with cross functional teams and business partners. Performs actuarial analyses for Medicare Advantage business, including, but not… more
- Point32Health (Boston, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing work. ... The key responsibilities for this role are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad hoc projects. This role will… more
- The Cigna Group (Bloomfield, CT)
- …can lead Cigna to achieving its goals. Reporting to the Cross Channel Analytics Senior Manager , this position will coordinate with cross functional teams to ... **Job Summary:** The Business Analytics Senior Advisor position within the Medicare ...Qualifications:** + Business Acumen + Bachelor's degree in Analytics, Actuarial Science, Marketing, Economics, or Finance or equivalent work… more
- CVS Health (Overland Park, KS)
- …like cloud computing to streamline and modernize Aetna's Part D rating systems. As Senior Manager of Application Development, you will help lead the creation of ... more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a journey to reimagine… more
- The Cigna Group (Denver, CO)
- The Medical Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... 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
- Travelers Insurance Company (Diamond Bar, CA)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.… more
- CVS Health (Overland Park, KS)
- …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 ... stakeholders, including Aetna/CVS Health Executive Leadership Teams, Finance, Actuarial , Network, Underwriting, Investor Relations, and Corporate Planning. The… 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
- MarketSource (Alpharetta, GA)
- 121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... and lead the insurance compliance management strategy for the organization's Medicare Advantage sales program including carrier compliance, and multi-carrier *… more
- Elevance Health (Tampa, FL)
- …for local management of all network cost of care initiatives inclusive of Medicaid, Medicare , and Commercial lines of business. **How you will make an impact:** + ... plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification. + Champions cost… more
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