- 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
- CVS Health (Chicago, IL)
- …care more personal, convenient and affordable. **Position Summary** Aetna is recruiting for a Manager , Actuarial - Medicare Network who will be support the ... sends a personal message that how we deliver our services is just as important as what we deliver....actuarial and/or health insurance experience. + Knowledge of Medicare products. + Actuarial exams passed, ASA… more
- Amazon (San Francisco, CA)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst. Actuarial rigor is one of the keys to our success. This candidate will responsible ... (ASA) is required -Experience with Medicare or Medicare Advantage products -Strong knowledge of actuarial ...with employees, supervisors, and staff to ensure exceptional customer service ; and follow all federal, state, and local laws… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP- Actuarial ... of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services is a...excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment.… more
- The Cigna Group (Harrisburg, PA)
- …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 (Madison, WI)
- …+ 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
- CVS Health (Nashville, TN)
- …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) ... health care more personal, convenient and affordable. **Position Summary** The Senior Manager , FP&A for Aetna's Senior Supplemental portfolio is results oriented and… more
- Centene Corporation (Harrisburg, PA)
- …teams and other stakeholders such as Product and Regulatory Compliance, Actuarial , Finance and Regional Market business partners. Influence and execute the ... long term growth. + Identify opportunities to enhance existing products and services to improve clinical, financial, product appeal performance to better align with… 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
- 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 (Columbus, OH)
- …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 (Diamond Bar, CA)
- …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 (Bedford, NH)
- …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
- ONEOK, Inc (Tulsa, OK)
- …**Fortune 500 company. 100+ years in business. Leading midstream service provider. Safety first. Sustainable operations. Environmentally responsible. Employee ... Summary** The Senior Retirement Planning Specialist reports to the Retirement Plans Manager and focused on: Employee Guidance and Education: Assist employees at all… more