- Providence (WA)
- …retain the best people, we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst, Medicare Bid who will:** + Be responsible ... for developing and maintaining actuarial models, analyzing data, and providing strategic insights to...to support the pricing and bidding process for our Medicare Advantage plans + Have a deep understanding of… more
- Prime Therapeutics (Columbus, OH)
- …Math, Actuarial Science, Economics or Finance + 2 years of work experience in actuarial services, underwriting, or analytics + 3 actuarial exams passed + ... fuels our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst is responsible for… more
- CVS Health (Lansing, MI)
- …cross-functional projects and initiatives to deliver holistic solutions + Collaborate with Medicare finance, actuarial and COE partners to identify areas where ... executed and tracked + Work closely with the Group Medicare CFO, as well as underwriting and actuarial...and effectively to translate novel strategies to audiences, including senior leadership + Serve as the primary point of… more
- The Cigna Group (St. Louis, MO)
- …ASA designation preferred but not required + Prior pharmacy analytics or actuarial experience preferred, experience with Medicare Part D preferred + Strong ... is a critical driver of enterprise earnings and ongoing Medicare growth. The Medicare Part D Actuarial organization currently drives a wide range of … more
- Humana (Columbus, OH)
- …a part of our caring community and help us put health first** The Senior Financial Analytics Professional manages data to support and influence decisions on ... operations, strategic planning and specific business performance issues. The Senior Financial Analytics Professional work assignments involve moderately… more
- The Cigna Group (Philadelphia, PA)
- …(ACA) market. In this role within Evernorth, you will join the IFP Analytics team responsible for identifying and sizing new risk adjustment opportunities that not ... and you will be viewed as a data and analytics expert with an eye for applying statistical techniques...makers at all levels of the organizations including the senior leadership team. **Key Responsibilities:** + Consult independently with… more
- Humana (Frankfort, KY)
- …interoperability efforts. You'll work closely with leaders in operations, finance, analytics , and actuarial to solve tricky problems through collaboration. ... Quality Reporting and Improvement business area, part of the Medicare and Medicaid business. With over 9 million medical...goals + Partner with operations leaders to develop financial analytics that go beyond their basic business needs to… more
- CVS Health (Overland Park, KS)
- …and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure ... in pricing activities. + Collaborate with cross-functional business partners in Actuarial , Finance, Product, Growth Analytics , Government Affairs, and… more
- CVS Health (Overland Park, KS)
- …make health care more personal, convenient and affordable. **Position Summary:** Join the Aetna Medicare Part D Actuarial Team as the enterprise embarks on a ... analytics , data management, business intelligence, business operations and actuarial science **Required Qualifications:** + 5+ years of experience with Google… 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 paid ... Given the close partnership between this team and the Actuarial Pricing and Reserving teams, an actuarial ...both proposed projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide… 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 ... our Medicare Health Plan Clients. You will work with CVS Caremark Medicare Health Plan clients, providing guidance and analytics , including consultations on… more
- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary** The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking ... 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… more
- Takeda Pharmaceuticals (Boston, MA)
- …agencies including CMS, MedPAC, VA, DoD, CMMI, NDQ, etc. + Perform policy analytics , insights, actuarial , outcome probability, and RWD commercial analytics ... to Takeda therapies. As a key member of the Senior US Oncology Leadership team, the Head of US...segments in the US, including but not limited to: Medicare national (Centers for Medicare & Medicaid… more
- The Cigna Group (Nashville, TN)
- …product expansion activities. **REQUIREMENTS:** + Bachelor's degree in Finance, Economic, Analytics , Actuarial Science, Accounting, Business, or other related ... Officer (BFO) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position...and solve difficult problems + Ability to present with Senior Leaders on both technical and non-technical aspects of… more
- BrightSpring Health Services (Louisville, KY)
- …Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the ... While the primary focus of this position will be to support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration… more
- Mount Sinai Health System (New York, NY)
- …with stakeholders from across the organization to develop sophisticated analytics to provide information, insights and BI (Business Intelligence) solutions ... degree preferred. + 2 years minimum is preferred in analytics development expertise, preferably in health care, or for...Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR,… more
- CVS Health (Dallas, TX)
- …and balance sheet reporting. + Collaborate with constituent areas including Actuarial , Service Operations, Clinical, Network and Medical Economics to execute on ... + Developing and presenting new opportunity business cases to senior leaders + Provider contracting negotiations, including fully/partially capitated, value-based,… more