- CVS Health (Blue Bell, PA)
- …and affordable. **Position Summary** Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicare business. The ... Bring your heart to CVS Health . Every one of us at CVS ...technical/analytical skills and attention to detail **Preferred Qualifications** - Medicare Part D or pharmacy pricing experience preferred -… more
- CVS Health (Blue Bell, PA)
- …Near-ASA + Bachelor's degree along with 3+ years related experience + Prior Medicare , Pharmacy, or Group Health Insurance experience + Experience with Microsoft ... Bring your heart to CVS Health . Every one of us at CVS ...SQL, R, Python, and Power BI + Prior Group Medicare Part D experience **Pay Range** The typical pay… more
- CVS Health (Atlanta, GA)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...Accountable Care is seeking a highly motivated and experienced actuary to join our fast-growing organization. The actuary… more
- McLaren Health Care (Flint, MI)
- …Reported (IBNR) estimates, and assisting with Medicare , Exchange and Medicare Supplemental bid development. The Actuary conducts actuarial modeling/analysis ... We are looking for an Actuary to join us in leading our organization...McLaren Integrated HMO Group (MIG), a division of McLaren Health Care Corporation, is an organization with a culture… more
- VNS Health (Manhattan, NY)
- OverviewVNS Health Medicare Advantage experiences accelerated year-over-year growth, doubling membership in the last 12 months. We continue to strengthen our ... and decision making that drives results. As the Manager, Actuary for Medicare Advantage (MA), you will...of paid time off and 9 company holidays + Health insurance plan for you and your loved ones,… more
- Deloitte (Fort Lauderdale, FL)
- …a career in Deloitte's Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance ... the transformation. Qualifications Required: + 3 + years of health actuary experience and consulting and/or ...individual medical and small group markets + Experience with Medicare products, including Medicare Advantage or … more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, ... medium and long-term financial and competitive position. The Associate Actuary , Analytics/Forecasting work assignments involve moderately complex to complex issues… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Actuary - Enterprise Financial Analytics analyzes and forecasts enterprise financial, ... the organization's short, medium and long-term financial and competitive position. The Actuary - Enterprise Financial Analytics works on problems of diverse scope… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Actuary , Pricing is responsible for setting pricing assumptions, submitting ... tools that price standard and custom benefits. The Associate Actuary , Pricing work assignments involve moderately complex to complex...us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Actuary - Remote **Job Description** The Senior Actuary is responsible for ... benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial support in complex… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value-Based Contracting Team!** This position applies knowledge of ... data on a wide variety of topics affecting the financial performance of the health plan. Ensure timely and accurate services to clients. Supports strong internal and… more
- Somatus (Mclean, VA)
- …for our patients and partners. **Showing Up for You** We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates learn, grow, and be the best ... opportunities + And more! **About the Role** The Deputy Actuary provides management and leadership actuarial reporting. Responsibilities **Essential Duties… more
- Highmark Health (Harrisburg, PA)
- …of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Health , Department of Title Associate Health Care Management System Analyst (NY HELPS) - 61116 Occupational Category Financial, Accounting, ... methods. Additionally, the incumbent will work with the State's consulting actuary on rate development and reimbursement methodologies. Additionally, the incumbent… more
- Highmark Health (Columbus, OH)
- …accounts and/or initiatives.Support strategic provider relationships to understand the current health care delivery state, readiness for change, test value based ... leadership of the enterprise, in addition to the multiple areas of health plan. + Support development of the overall conceptualization, strategy alignment, and… more
- Elevance Health (West Des Moines, IA)
- …trends throughout Iowa, positively impacting the affordability of respective Medicaid and Medicare Advantage health plan products. + Develops new provider ... advantage, optimizing respective provider relationships to most effectively benefit health plan growth priorities. + Aligns contracting decisions with medical… more
- Henry Ford Health System (Detroit, MI)
- …if they are performed by other personnel. + In coordination with the plan actuary and plan record keeper, analyze and update actuarial information for each of the ... the completion of benefit information on Form 990 and Medicare cost reporting. + Provides responses to IRS, PBGC...duties beyond those explicitly described above. Overview Henry Ford Health partners with millions of people on their … more
- Somatus (Mclean, VA)
- …for our patients and partners. Showing Up for You We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates learn, grow, and be the best ... with Somatus short-term and long-term objectives for our population health and other product offerings. The SVP of Finance...successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data ... of variable factors. The Senior Market Finance Professional works with Actuary , MRA, Corporate Finance, Clinical and Market Point internally and… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Senior Market Finance Professional collects, analyzes and reports on various market data ... trend opportunity analysis. The Senior Market Finance Professional works with Actuary , MRA, Corporate Finance, Clinical and Market Point internally and… more