- CVS Health (Hartford, CT)
- …care more personal, convenient and affordable. **Position Summary** Aetna is recruiting a Sr. Manager on the Medicaid Actuarial Growth and Strategy team. ... sends a personal message that how we deliver our services is just as important as what we deliver....This position will be the point person for the Medicaid Actuarial team's involvement with Revenue Integrity,… more
- Healthfirst (NY)
- …Science, Math, Economics, Finance or any related degree + Experience in the actuarial field related to Medicaid + Experience with programming/coding, preferably ... **Scope of Responsibilities:** + Monitor experience for Healthfirst's Medicaid lines of business. + Analyze and interpret...the business. + Provide input and assistance to other actuarial functions such as in reserving, forecasting, trend and… more
- Deloitte (Chicago, IL)
- …leadership + Prepare and present client presentations and reports + Conduct other Manager level health actuarial consulting activities, as required The team ... the world. We are recognized as a leader in providing comprehensive, high-quality actuarial consulting, advanced analytics, and risk management services to our… more
- State of Maine, Bureau of Human Resources (Augusta, ME)
- …by: Oct. 10, 2024 Apply with Linkedin Apply Department of Health and Human Services (DHHS)Public Service Manager IIOpening Date:September 27, 2024 Closing ... processing services , statewide transportation programs, behavioral health administrative services , pharmacy benefits administration, actuarial services ,… more
- Deloitte (Baltimore, MD)
- …on October 31, 2024. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions Practice, ... experience + Bachelor's Degree Required + 3 years' + experience with Medicaid managed care capitation rate development and/or fee-for- service rate development… more
- CVS Health (Hartford, CT)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid ). This position will support a wide range of stakeholders, including… more
- BrightSpring Health Services (Louisville, KY)
- …Care owns and operates various entities in Primary Care including a Medical Services company, Population Health Management services company, and a Medicare ... Special Needs Plan (I-SNP).Under the direction of the General Manager , the Financial Planning and Analysis Manager ...strategic improvement models all with the intent to optimize services across all lines of business. Responsibilities + Update,… more
- MarketSource (Alpharetta, GA)
- …* Ensure compliance with regulatory obligations including Centers for Medicare and Medicaid Services (CMS), while applying a commercial and practical approach ... 121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed… more
- Mount Sinai Health System (New York, NY)
- …such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, ... a strong plus. + Experience working in a health plan or consulting actuarial , financial reporting or medical economics departments highly valuable. + Experience as a… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial ... as the ability to develop relationships within/outside of the Actuarial Services Department. The ideal candidate will...* Experience with Medicare Part D, Medicare Advantage, or Medicaid * Intimate knowledge of the healthcare industry *… more
- Fallon Health (Worcester, MA)
- …continually rated among the nation's top health plans for member experience, service , and clinical quality. We believe our individual differences, life experiences, ... be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in… more
- CVS Health (Chicago, IL)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and… more