- Providence (WA)
- …the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Medicare Bid who will:** + Be responsible for ... developing and maintaining actuarial models, analyzing data, and providing strategic insights to...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep… more
- The Cigna Group (Philadelphia, PA)
- Performs actuarial analyses for Medicare Advantage business, including, but not limited to: medical expense analyses and projections, financial forecasts, ... Medicare Part C bid development, regulatory (CMS) filings, actuarial modeling/analysis, ad hoc actuarial analyses/advice as needed, and communicate… more
- Elevance Health (St. Louis, MO)
- …of our Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The ** Actuarial Analyst III** will complete very diverse and complicated ... projects and performs very complex actuarial studies. **How you will make an impact:** +...studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors.… more
- Medical Mutual of Ohio (OH)
- …+ 1 year experience in health actuarial work. + 1 year of experience in Medicare Advantage or Medicare Supplement if assigned to Medicare area. ... fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage , Medicare Supplement, and individual plans. Estimates… more
- Point32Health (Boston, MA)
- …we are at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing ... work. The key responsibilities for this role are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad hoc projects. This… more
- CVS Health (Lansing, MI)
- …years of relevant industry experience in one or more of the following areas: + Medicare Advantage , ACO, MSSP, ACO REACH + Healthcare Economics + Pricing + ... and implementing results-based programs and innovative initiatives for the actuarial informatics area, under general supervision. + Applies in-depth knowledge… more
- Humana (Louisville, KY)
- …or actuarial background + Medicare Risk Adjustment Experience + Medicare Advantage or Healthcare Industry Experience + Proficiency in Microsoft Excel + ... Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. The Finance team develops revenue and risk score… more
- CVS Health (Overland Park, KS)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid). This position will support a wide range ... across all four major lines of business (Commercial Group, Commercial Individual, Medicare Advantage , and Medicaid); this suite of reporting includes Executive… more
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