- CVS Health (Atlanta, GA)
- …materially affect financial results and make sound, unbiased reports on these matters. + Lead Actuarial interactions with Market leads - CEO, CFO, CMO and COO. ... issues. **A Brief Overview** The primary responsibility of this director role will be leading Actuarial market...OHRISE, WV, & VA). Within this role, you'll: + Lead /manage Plan and analytical support to achieve operating plan… 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 ... make health care more personal, convenient and affordable. Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid… more
- CVS Health (Chicago, IL)
- …more personal, convenient and affordable. **Position Summary** Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid ... Primary Role (80% time): + Direct and oversees the actuarial pharmacy team to be strategic business partners. +...plan actuaries in understanding and setting forecast trends. + Lead and drive pharmacy related analysis and storytelling including… more
- Molina Healthcare (Covington, KY)
- …synthesizes data from various sources to identify risks. **Knowledge/Skills/Abilities** * Lead IBNR estimation process and rate adequacy studies. Coordinate with ... plan senior management teams. * Provide technical guidance and coaching to actuarial department staff. * Stay abreast of professional developments and industry… more
- CVS Health (Lansing, MI)
- …to deliver unparalleled results. We are seeking an Executive Director to lead the newly formed **Group Medicare Performance Optimization** team. This leader ... and initiatives to deliver holistic solutions + Collaborate with Medicare finance, actuarial and COE partners to...on ongoing business performance results, activities and initiatives + Lead the Group Medicare governance forum to… more
- Travelers Insurance Company (Columbus, OH)
- …strategies for addressing and resolving various types of debt, including Medicare , to deliver positive financial outcomes. This role requires leveraging economic ... and maintains strong partnerships with Underwriting, Product Management, Marketing, and Actuarial and across the Enterprise to drive business results. + Leadership:… 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 ... and drives every decision we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for… 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...company serving members across Massachusetts and New Hampshire through Medicare , Individual and Family, and Medicaid plans. Founded 25… 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
- 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
- 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 respective markets' ability to achieve its financial and strategic goals by managing and driving business actions… 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...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… 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...segments in the US, including but not limited to: Medicare national (Centers for Medicare & Medicaid… more