- Healthfirst (NY)
- …of business. + Provide support for annual Medicare bids for all Healthfirst's Medicare products. + Assist in other actuarial functions such as in incurred ... Finance or any related degree + Experience in the actuarial field related to Medicare (bid development/review, analysis, reporting, risk scores) + Ability to… more
- Point32Health (Canton, MA)
- … Manager works closely with claims, membership operations, clinical services , care management, customer relations, sales, marketing, and other stakeholders to ... health and wellbeing easier. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we… more
- The Cigna Group (Houston, TX)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. The ... supply teams. The role will assist in development of actuarial analyses for Medicare Part D business,...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … more
- Avera (Rapid City, SD)
- …+ Support the development of underwriting models in collaboration with internal/external actuarial services . + Partner with sales and marketing teams to ... data analysis tools (eg, Excel, SQL) + Experience collaborating with internal/external actuarial services and sales departments **Expectations and Standards** +… more
- BrightSpring Health Services (Louisville, KY)
- …Primary Care including a Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan ... support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying… more
- AbbVie (Mettawa, IL)
- …areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please ... of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. The role is a meld...+ Must have a Bachelor's degree in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field… more
- CVS Health (Hartford, CT)
- …at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors (TM) ... care more personal, convenient and affordable. **Position Summary** Multifunctional project manager who will use critical thinking skills to review and implement… more
- AbbVie (Mettawa, IL)
- …areas - immunology, oncology, neuroscience, and eye care - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please ... channels of pharmaceutical businesses such as Commercial Insurance channel, Medicare and Medicaid Channels. + Collaborating with stakeholders including Finance,… more
- MetroLink (Los Angeles, CA)
- …highest priority projects for the Agency, required to improve frequency and flexibility of service to meet the regional railroad goals of the Agency and to support ... an exhaustive list of responsibilities. + Serve as Project Manager (PM) on projects under the oversight of the...Communications internal teams to communicate work windows, impacts to service plans or impacts to the public and Metrolink… more
- Henry Ford Health System (Detroit, MI)
- …SRC is responsible for ensuring the accuracy and completeness of demographic, actuarial and financial information regarding the various HFHS defined contribution and ... math skills. The SRC often acts as a project manager ; he/she aggressively completes projects in a timely manner...plan actuary and plan record keeper, analyze and update actuarial information for each of the defined benefit plans.… more
- Highmark Health (Indianapolis, IN)
- …operational excellence, pricing optimization, vendor coordination, and assisting in the actuarial , financial planning and forecasting process. This role will lead ... financial plan, trends, forecast and accrual assumptions. + Pharmacy Benefit Manager (PBM), pharmacy Group Purchasing Organization (GPO) and vendor partnership… more
- Travelers Insurance Company (Indianapolis, IN)
- …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
- Travelers Insurance Company (Indianapolis, IN)
- …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
- CenterWell (Indianapolis, IN)
- …of senior-focused primary care, one of the largest providers of home health services , and fourth largest pharmacy benefit manager , CenterWell is focused on ... MAAA + Strong communication skills + Successful completion of at least 3 actuarial exams + Experience in SQL, SAS, Snowflake, or other relevant database programming… more