- Elevance Health (St. Louis, MO)
- …complex actuarial studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes and implements ... our Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The ** Actuarial Analyst III** will complete very diverse and complicated projects… more
- Providence (CA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics , Commercial who will:** + Be responsible for ... the Society of Actuaries (FSA) designation + 7+ years of healthcare actuarial analytics experience working with Medicare Advantage pricing and bid… more
- LA Care Health Plan (Los Angeles, CA)
- … actuarial /healthcare economics, risk adjustment and quality improvement programs. Analytics experience with Medicare Advantage, Medicare Fee-For-Service ... Manager , Analytics Job Category: Accounting/Finance Department:...care claims Knowledge of Risk Adjustment models (eg CMS Medicare Advantage, HHS-HCC, Medicaid DxCG) Extensive knowledge of healthcare… more
- CVS Health (Hartford, CT)
- …and Network Analytics team to support VBC partnerships throughout Aetna's Medicare segment to deliver on Aetna's MA VBC strategy. You will partner ... collaboratively and cross-functionally with local market Network, Finance, Actuarial , other team members, as well as with external providers to promote the… more
- CVS Health (Overland Park, KS)
- …health care more personal, convenient and affordable. **Position Summary** The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking ... 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… more
- CVS Health (Overland Park, KS)
- …make health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a ... analytics , data management, business intelligence, business operations and actuarial science **Required Qualifications:** + 5+ years of experience with Google… 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 paid ... 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
- CareOregon (Portland, OR)
- …representative where needed. + Work with outside actuaries and the State's Office of Actuarial and Financial Analytics (OAFA) team to promote fair rates. + Serve ... Job Title Rate Development Manager Exemption Status Exempt Management Level Manager...closely with members of the Finance Team and in-house actuarial staff to ensure rate updates are communicated timely.… 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
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Senior Manager of Reimbursement and Fiscal Management Augusta , Maine , United States | Community & Social Services | Full-time Apply by: Nov. 25, 2024 Apply with ... Linkedin Apply Department of Health and Human Services (DHHS)Public Service Manager IIOpening Date:November 12, 2024 Closing Date: November 25, 2024Job Class… more