• Senior Actuary - ACA

    CVS Health (Hartford, CT)
    …This position is responsible for rate development and filings in the Individual ACA segment. This entails * Contributing to the achievement of profitability and ... the actuarial team * Update downstream reporting tools for all Individual ACA business to enhance understanding of financial performance * Enhancement of reporting… more
    CVS Health (11/23/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Columbus, OH)
    …integration into the overall Enterprise strategy through collaboration with Senior -level internal/external stakeholders. Ensures a high degree of development, ... models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA , and commercial populations with the goal of maximizing quality while… more
    Highmark Health (10/10/24)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Pittsburgh, PA)
    …and its beneficiaries enrolled in Risk Adjusted government programs (MA and ACA ), using skills including, but not limited to: capability analysis and definition; ... process engineering, and metrics design. The incumbent works closely with senior /executive leadership, Physicians and technical staff within the Enterprise and… more
    Highmark Health (11/21/24)
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