- Humana (Harrisburg, PA)
- …of a team that is at the center of a changing regulatory landscape. The Actuary , Risk and Compliance role assesses and communicates information regarding ... caring community and help us put health first** This Actuary role is a role within the Senior Products...and execution of review standards and controls to minimize compliance risk associated with the bid filing… more
- AIG (Philadelphia, PA)
- …Actuary - PCS At AIG, we are reimagining the way we help customers to manage risk . Join us as the Associate Actuary - PCG to take on key responsibilities ... Risk Management, among other functions. As an AIG actuary , you will be challenged and encouraged to reach...the annual planning process + Ensure model validation, SOX compliance and documentation standards are met What you'll need… more
- Deloitte (Harrisburg, PA)
- …our clients that we serve more than HR organizations - from the CEO to CFO, Risk Manager to Business Unit leader-and that we deliver on our issues and help create ... & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &...11/30/2024. Work you'll do As a Deloitte Consulting P&C Actuary Manager in the Insurance practice of Deloitte's Human… more
- Deloitte (Pittsburgh, PA)
- …our clients that we serve more than HR organizations - from the CEO to CFO, Risk Manager to Business Unit leader-and that we deliver on our issues and help create ... & Insurance Solutions practice works with finance, actuarial, and risk functions to help life insurance companies, property &...11/30/24. Work you'll do As a Deloitte Consulting P&C Actuary Senior Consultant in the Insurance practice of Deloitte's… more
- Highmark Health (Harrisburg, PA)
- …challenges, ensuring accurate and timely data flow across systems. + **Oversee risk adjustment processes and ensure compliance with regulations:** Stay abreast ... the incumbent to: + **Lead and manage a team of interoperability and risk adjustment SMEs:** Provide guidance, mentorship, and support to team members, fostering a… more
- UPMC (Pittsburgh, PA)
- …whatever you'd like to do, UPMC has a place for you. UPMC Health Plan's growing Actuary department is seeking a Director, Actuary to ensure that the UPMC Health ... affect health plan financial profitability. + Work with the UPMC HP Appointed Actuary to ensure satisfactory filings of annual Statements of Actuarial Opinion and… more
- Highmark Health (Pittsburgh, PA)
- …planning and tradeoff decision making; deep customer insights; healthcare compliance and regulatory environment; and internal/external service delivery partner ... of new integrated provider product designs that move towards greater risk -sharing and population health management. + **Drive product innovation.** Actively monitor… more
- Highmark Health (Harrisburg, PA)
- …is directly responsible for outcomes of providers contracted in the Organization's gain/ risk share arrangements and is a highly skilled expert in practice ... transformation to achieve the specific targets set in the individual gain/ risk share contracts and is strategically focused on those data gaps that will result in… more
- Highmark Health (Harrisburg, PA)
- …to pay-for-value programs, episode payments, prospective bundled payments, gain share and risk share models and will be implemented for the Organization's Medicare ... of maximizing quality while reducing healthcare costs. + Work with reimbursement, actuary , and analytic departments to ensure that operational capabilities are built… more