- CVS Health (Chicago, IL)
- …is responsible for rate development and filings in the Individual/Small Group ACA segment: * Contributing to the achievement of profitability and membership goals ... skills and attention to detail **Preferred Qualifications** Experience with ACA markets **Education** Bachelor's degree or equivalent experience **Pay Range**… more
- CVS Health (Chicago, IL)
- …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
- Molina Healthcare (Chicago, IL)
- …of provider contracts (eg Medicaid, Medicare, CFAD, HIX, ACA Primary Care Enhancements, National/Ancillary, capitation, fee-for-service hospital reimbursement, ... inter-dependent relationships within the organization as appropriate, including Corporate Actuary , Utilization Management, Health Plan Finance and Network Management… more