- The Cigna Group (Birmingham, AL)
- Cigna Supplemental Benefits (CSB) has been growing rapidly with Medicare Supplement (MedSupp) annual revenues now exceeding $1.2b. The Medicare Supplement ... but also exciting with complications of state specific dynamics, the growing senior population, and other macro factors. Serving as the pricing team leader… more
- CVS Health (Columbus, OH)
- …convenient and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial Services team. ... We are seeking an actuary to support our Medicare Health Plan Clients. You will work with CVS...as the ability to develop relationships within/outside of the Actuarial Services Department. The ideal candidate will have strong… more
- CVS Health (Overland Park, KS)
- …like cloud computing to streamline and modernize Aetna's Part D rating systems. As Senior Manager of Application Development, you will help lead the creation of ... more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a journey to reimagine… more
- The Cigna Group (Bloomfield, CT)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...Given the close partnership between this team and the Actuarial Pricing and Reserving teams, an actuarial … more
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the ... forces with cross-functional teams (sales, strategy, product, marketing, finance, actuarial , clinical, sales operations, contracting, partner success, etc.) to… more
- Travelers Insurance Company (Independence, OH)
- …Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage ... to reflect claim exposure and document rationale. Identify and set actuarial reserves. Apply knowledge to determine causal relatedness of medical conditions.… more
- CVS Health (Hartford, CT)
- …all four of Aetna's major lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid). This position will support a wide range of ... stakeholders, including Aetna/CVS Health Executive Leadership Teams, Finance, Actuarial , Network, Underwriting, Investor Relations, and Corporate Planning. The… more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more
- MarketSource (Alpharetta, GA)
- 121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... and lead the insurance compliance management strategy for the organization's Medicare Advantage sales program including carrier compliance, and multi-carrier *… more
- Mount Sinai Health System (New York, NY)
- …Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and ... a strong plus. + Experience working in a health plan or consulting actuarial , financial reporting or medical economics departments highly valuable. + Experience as a… more
- Geisinger (Danville, PA)
- …Details Additionally, the successful candidate will: + Serve as assistant project manager for Medicare Annual Enrollment Period Data and Document Collection ... Job Summary Provides application support to the Retail Sales (Individual and Medicare ) lines of business, which includes Inside and Field Sales staff. Provides… more