- 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
- Providence (CA)
- …best people, we must empower them._** **Providence Health Plan is calling a Manager Actuarial Analytics, Commercial who will:** + Be responsible for producing ... as a technical resource and as a mentor to Actuarial Analysts in the Actuarial department +...Learn more at providence.jobs/benefits. **About the Team** Providence Shared Services is a service line within Providence… more
- Centers for Medicare & Medicaid Services (Woodlawn, MD)
- …in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS), Office of the Actuary (OACT), Medicare and Medicaid ... Medicaid managed care. Serves as CMS's technical and actuarial expert and consultant, exercising significant responsibility for providing technically… more
- Deloitte (Columbus, OH)
- …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: Nov. 25, 2024 Apply with Linkedin Apply Department of Health and Human Services (DHHS)Public Service Manager IIOpening Date:November 12, 2024 Closing ... Senior Manager of Reimbursement and Fiscal Management Augusta ,...of reporting required by the Centers for Medicare & Medicaid Services (CMS), including Upper Payment Limit… more
- Deloitte (New York, NY)
- …Human Capital practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions ... 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 (Overland Park, KS)
- …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
- CareOregon (Portland, OR)
- Job Title Rate Development Manager Exemption Status Exempt Management Level Manager Direct Reports Rate Development Analysts Manager Title Director, Finance ... Work with outside actuaries and the State's Office of Actuarial and Financial Analytics (OAFA) team to promote fair...benefit type. + Provide rates information to the Information Services department for 820 programming and ensure accuracy of… 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
- AmeriHealth Caritas (Newtown Square, PA)
- …provider network expansion. + Monitor and track Centers for Medicare and Medicaid Services (CMS) and state-level regulatory requirements and ensure vendor ... **Medicare Vendor Program Manager ** Location: Newtown Square, PA Primary Job Function:...millions of people through our national footprint of products, services , and award-winning programs. AmeriHealth Caritas is seeking talented,… more
- LA Care Health Plan (Los Angeles, CA)
- …and quality improvement programs. Analytics experience with Medicare Advantage, Medicare Fee-For- Service (FFS), Multipurpose Senior Services Program (MSSP) and ... Manager , Analytics Job Category: Accounting/Finance Department: Risk Adjustment...of Risk Adjustment models (eg CMS Medicare Advantage, HHS-HCC, Medicaid DxCG) Extensive knowledge of healthcare industry, Medicare Advantage,… 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
- 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