- Humana (Raleigh, NC)
- …health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 1, Analytics/Forecasting… more
- Humana (Raleigh, NC)
- …health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial , economic, and other data to provide accurate and timely ... and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting… more
- Prime Therapeutics (Raleigh, NC)
- …pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and maintain financial and ... drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst ...and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and answer… more
- Humana (Raleigh, NC)
- …health first** Are you ready for a great job? The Value-Based Programs Analyst 2 supports successful value-based provider relationships with a focus on improving the ... provider experience and achieving path-to-value goals. The Value-Based Programs Analyst 2 work assignments are varied and frequently require interpretation and… more
- Prime Therapeutics (Raleigh, NC)
- …and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuary is responsible for providing ... and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial support in complex projects that are… more
- Public Consulting Group (Raleigh, NC)
- …specific timeline and budget while working at a detailed level. + Strong analytical and financial data analysis skills. + Attention to detail and ability to work ... to succeed. Services: + Teaching + Learning Solutions + Data Systems + IT Solutions + Financial ...service delivery for state behavioral health authorities. + Conducts financial analysis for Medicaid rate studies and… more
- Public Consulting Group (Raleigh, NC)
- …for follow-up. ** Data Analysis and Validation** + Produces reports on collected data within mandated time frames. + Conduct financial analysis of cost ... process and in goal setting for the overall team. ** Data Management** + Load data into pre-defined...Develop and maintain robust knowledge of School Based Services Medicaid Cost Reporting programs and systems + Special projects… more
- Highmark Health (Raleigh, NC)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate… more
- Public Consulting Group (Raleigh, NC)
- …client relationships. + Strong quantitative skills and ability to analyze and interpret financial data . + Ability to research, analyze and interpret policy, ... HCBS waivers such as 1915(c), 1915(i), 1915(j), and 1915(k), along with Medicaid State Plan benefits, PACE, SNFs, and ICF-IID. Knowledge must include federal… more
- Humana (Raleigh, NC)
- …help us put health first** We are looking for an EMR interface analyst to support seamless integration and interoperability between various systems as PCO migrates ... large IT projects + Experience with leading and conducting Data Extractio Migration, Data conversion and archiving...flexible packages to give our employees a sense of financial security-both today and in the future, including: +… more