- CVS Health (Atlanta, GA)
- …Overview** The primary responsibility of this director role will be leading Actuarial market support for the Southeast region's Medicaid contracts (KY, LA, ... team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound...and make sound, unbiased reports on these matters. + Lead Actuarial interactions with Market leads -… more
- CVS Health (Blue Bell, PA)
- …reasonable actuarial projections. **A Brief Overview** The primary focus of this director role will be leading actuarial support for the financial forecast ... on trend normalization and projection. **Fundamental Components** Primary Role (70% time): + Lead budget and forecast storytelling for the Medicaid business. +… more
- CVS Health (Chicago, IL)
- …care more personal, convenient and affordable. **Position Summary** Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing ... Medicaid business. **A Brief Overview** The primary focus of...Primary Role (80% time): + Direct and oversees the actuarial pharmacy team to be strategic business partners. +… more
- Guidehouse (Atlanta, GA)
- …and Practice Development. Our Managing Consultants have opportunities to support both Medicaid and Commercial clients. Projects will include actuarial modeling ... None **What You Will Do** **:** Guidehouse is building out increased actuarial capabilities into its provider/payer strategic consulting practice. Come join a… more
- CVS Health (Dallas, TX)
- …make health care more personal, convenient and affordable. **Position Summary** The Executive Director , CFO Texas Medicaid Market role will function as the CFO ... for the Texas Medicaid Health Plan, and will lead the...balance sheet reporting. + Collaborate with constituent areas including Actuarial , Service Operations, Clinical, Network and Medical Economics to… more
- WellSense (Boston, MA)
- …WellSense and in close partnership with the Population Health Services team at BMCHS, the Director will lead the finance arm of ACO performance and strategy. ACO ... Director of Finance and Strategy, MassHealth Product WellSense...and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical… more
- Highmark Health (Triadelphia, WV)
- …to drive achievement of current year and multi-year financial commitments. Lead segment performance management activities, including the identification and tracking ... growth, cross-sell, revenue enhancements and other opportunities. Partner with actuarial functions to enable effective product pricing, appropriate reserving, and… more
- AbbVie (Mettawa, IL)
- …we'd love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics - National Accounts, within the Market Analytics and Business ... Insights (MABI) organization will lead the financial assessment of payer contracting via data...channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels + Develop new and… more
- Molina Healthcare (Richmond, KY)
- **Job Summary** As a member of the Customer Experience team, the Director , Data Analytics ensures timely creation of key Executive and Health plan management ... among interdepartmental customers including, but not limited to, IT; Finance; Actuarial , Claims, Call Centers and Utilization and Care Management. Manages data… more
- Prime Therapeutics (Columbus, OH)
- …key stakeholders, senior management, and clients; answer detailed and challenging questions regarding actuarial data + Lead and mentor Actuarial team members ... The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential… more
- Humana (Frankfort, KY)
- …inside and outside HQRI + Work independently with general guidance from the Director , HQRI Value Story - lead business partnerships, customer interactions, and ... efforts. You'll work closely with leaders in operations, finance, analytics, and actuarial to solve tricky problems through collaboration. The HQRI Finance team… more
- Takeda Pharmaceuticals (Boston, MA)
- …best. As the Head of US Oncology Patient Value and Access, you will lead a best-in-class organization that works proactively with Payers to underscore the value of ... the US Oncology Business Unit (US OBU), you will lead and direct the creation and delivery of strategies...not limited to: Medicare national (Centers for Medicare & Medicaid Services [CMS]), Medicaid (state and managed),… more