- CVS Health (Blue Bell, PA)
- …taking into account evolving marketplace dynamics 3) Communicate results to senior leadership * Collaborate with various departments to understand monthly results ... is responsible for rate development and filings in the Individual/Small Group ACA segment: * Contributing to the achievement of profitability and membership goals… more
- CVS Health (Blue Bell, PA)
- …performance of our Individual Exchange business. This role will specifically focus on ACA risk adjustment modeling and analytics. The position is a managerial role ... to risk adjustment: 1) ownership of the internal algorithm to calculate member level ACA risk scores, 2) financial estimates of the risk transfer position, and 3)… more
- Highmark Health (Trenton, NJ)
- …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