- Somatus (Mclean, VA)
- …physical and mental well-being + Community engagement opportunities + And more! The Sr. Director , Medicare Risk Adjustment (MRA) will lead the execution ... experience required. + Proven experience with commercial and/ or Medicare Advantage risk adjustment functions. + Proven track record of working collaboratively… more
- Travelers Insurance Company (Washington, DC)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... Support: + Partners with the Field, Claim Resources and Senior Leadership to identify and improve Claim processes and...a financial management and control strategy to limit financial risk associated with claim costs. + Serves as a… more
- Prime Therapeutics (Washington, DC)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Senior Principal or Senior Director in the Finance department ... and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for… more
- CenterWell (Washington, DC)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead ... to a Conviva/CenterWell market location(s) + Experience working in a value-based care, senior care, and/or Medicare managed care **Workstyle** This is a remote… more
- CVS Health (Washington, DC)
- …oversight and peer review of national outside actuarial firms. Manages a senior analyst and collaborates with business actuaries and members of the enterprise ... with finance to ensure the financial integrity of business strategies, forecasts and risk contracts * Works with business actuaries and business leaders to drive the… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** Director of Enterprise Information Protection (EIP) Cybersecurity Engineering focused on building a ... and strategic thinking skills, with the ability to influence senior leaders across EIP. * Proven track record of...Have a bias towards action and delivery while balancing risk management. + Ability to implement best practices for… more
- Guidehouse (Mclean, VA)
- …client relationships, and delivering impactful project results within the Centers for Medicare & Medicaid Services (CMS). You will own the delivery of projects ... role involves leadership of multi-year task orders and regular interaction with senior , executive-level clients to ensure the success of innovative new programs. The… more