- BlueCross BlueShield of North Carolina (NC)
- **Job Description** This Consulting Actuary with a Medicare Part D focus on the Medicare Pricing team, will provide pricing, forecasting, and strategic ... through the deployment of actuarial concepts. As a Consulting Actuary you will also provide Medicare thought...and Blue Shield of North Carolina (Blue Cross NC). Health care is changing, and we're leading the way.… more
- CVS Health (Overland Park, KS)
- 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...and attention to detail Preferred Qualifications + Previous Pharmacy, Medicare Part D, Medicare experience + ASA… more
- CVS Health (Columbus, OH)
- …Senior Manager, on the Medicare D Actuarial Services team. We are seeking an actuary to support our Medicare Health Plan Clients. You will work with ... CVS Caremark Medicare Health Plan clients, providing guidance and...as independently. **Required Qualifications** * Minimum 7 years of Actuary experience, including proven ability to communicate and consult… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Associate Actuary role is a role within the Insurance Products Actuarial Medicare ... hoc projects and analysis to help enhance Part D accuracy. The Associate Actuary , Pricing work assignments involve moderately complex to complex issues where the… more
- Deloitte (New York, NY)
- …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 Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other ... organization's short, medium, and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Actuary , Analytics/Forecasting will evaluate changes in membership growth and mix ... impact on underwriting margin. They will work collaboratively with peers across Medicare Risk Adjustment, Membership Growth Analytics, Medicare Finance, and… 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 Lead Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and ... short, medium and long-term financial and competitive position. The Lead Actuary , Analytics/Forecasting works on problems of diverse scope and complexity ranging… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Actuary Principal - Remote **Job Description** The Principal Actuary is responsible ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative… more
- VNS Health (Manhattan, NY)
- OverviewAs the Supervisor, Actuary for Medicare Advantage (MA), you will play a pivotal role in leading the actuarial aspects of the MA bid process. You will ... of paid time off and 9 company holidays + Health insurance plan for you and your loved ones,...Medicare Advantage bidding required + Knowledge of core health actuarial processes including Pricing, Valuation, and Budgeting/Forecasting preferred… 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
- CVS Health (Overland Park, KS)
- …and pricing of MAPD, SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial ... Bring your heart to CVS Health . Every one of us at CVS ...to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. Reporting to the SVP, Sales & Client Management, the Director, Group Medicare Sales, is an integral member of the leadership team-driving BCBSMA's purposeful ... re-entry into the Group Medicare Advantage Market. The role will have responsibility for...and consults with senior leaders (eg SVP and Chief Actuary ; SVP, Underwriting; EVP, Sales, Marketing & Service; SVP… more
- The Cigna Group (Bloomfield, CT)
- …is responsible for developing solution changes for the ongoing needs of CMS Medicare Risk Adjustment processes and systems. The ** Medicare Risk Adjustment ... Risk Adjustment issues. + Working closely with Compliance, Audit, Actuary and other data domain leaders that share Risk...+ **6+ years of diverse work in a matrix Health Care environment.** + **Expert knowledge and understanding of… more
- Henry Ford Health System (Troy, MI)
- …Lead the annual Medicare bid process in collaboration with HAP's Chief Actuary , create strategic plan, lead bid meetings, optimize all levers to file a ... Health Alliance Plan (HAP) is actively seeking a...driving the strategy and growth of HAP's Government Products, Medicare Product, and Sales, aligning with the organization's vision… more
- The Cigna Group (Bloomfield, CT)
- …mission is to improve customer value and affordability across Cigna Medicare . We accomplish this through data-informed analytics, strategic insights, and ... across business areas and on a wide variety of Medicare Advantage Total Cost of Care (TCC) reduction initiatives....by multiple areas of the business, including finance and actuary teams + Developing code, using SQL or another… more
- Highmark Health (Pittsburgh, PA)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job is directly responsible for outcomes of providers contracted in the Organization's ... of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate… more