- Molina Healthcare (Mesa, AZ)
- …DESCRIPTION** **Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk ... risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid...models based on state programs + Develop and lead actuarial studies related to risk scores and… more
- Providence (OR)
- …the rate development and filing efforts including competitive analysis, network analysis, risk adjustment , trend, actuarial value analysis, rate adequacy ... **Description** **Senior Actuarial Analyst \*Remote Reporting to the Senior Manager Actuarial Analytics the Senior Actuarial Analyst analyzes the… more
- Fallon Health (Worcester, MA)
- …of actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams including ... **Primary Job Responsibilities** + Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis +… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible ... estimates. -Value based care contracting support and ongoing financial and risk analysis. -Support ongoing actuarial support for outside auditor review… more
- ChenMed (Miami, FL)
- …CMS public information.Calculatesstatistical and probability forecasts and models from data. + RunsCMS risk adjustment model to calculate member level risk ... we need great people to join our team. The Actuarial Services Analyst is responsible for managing...Analyst is responsible for managing and tracking the risk positions within ChenMed as well as supporting the… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... the impact of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists in designing an overall suite… more