- CVS Health (Hartford, CT)
- …more personal, convenient and affordable. **Position Summary** Aetna is recruiting a Sr . Manager on the Medicaid Actuarial Growth and Strategy team. This ... position will be the point person for the Medicaid Actuarial team's involvement with Revenue Integrity, a crucial revenue-generating initiative for the … more
- Elevance Health (Latham, NY)
- …Elevance Health PulsePoint location listed above. The **Provider Network Manager Sr ** will be responsible for developing the Medicaid provider network ... **Provider Network Manager Sr ** **Location:** Latham, NY; Middletown,...and Experiences:** + Experience in fee schedule development using actuarial models strongly preferred. + Experience with Medicaid… more
- Elevance Health (Richmond, VA)
- Provider Network Management Sr (Contract Negotiations) (JR128784) **Location:** Candidates must reside within 50 miles or 1-hour commute each way of one of our ... 1 day in an office per week. The **Provider Network Management Sr ** **(** Hospital Contracts) develops the provider network through contract negotiations,… more
- CVS Health (Chicago, IL)
- …health care more personal, convenient and affordable. **Position Summary** As a Manager , Medical Economics, Medical Expense Review, you will define, develop and ... Medical Economics - Medical Expense Review (MER) across assigned Medicaid Plans. The primary goal of this team is...and driving a targeted financial strategy. * Align with senior Local Plan and Medical Economics leaders to monitor… more
- CVS Health (Hartford, CT)
- …lines of business (Commercial Group, Commercial Individual, Medicare Advantage, and Medicaid ). This position will support a wide range of stakeholders, including ... Aetna/CVS Health Executive Leadership Teams, Finance, Actuarial , Network, Underwriting, Investor Relations, and Corporate Planning. The candidate will work in a… more
- Deloitte (Stamford, CT)
- …Human Capital practice. Work you'll do As a Deloitte Consulting Health Actuary Manager in Deloitte's GPS Human Capital Actuarial and Insurance Solutions ... Practice, you will assist Deloitte Senior Managers and Partners in providing strategic and technical consulting services to Federal and State governments, employer… more
- BrightSpring Health Services (Louisville, KY)
- …Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the General Manager , the Financial Planning and Analysis Manager is responsible for ... be to support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on… more
- MarketSource (Alpharetta, GA)
- 121666BRTitle:Compliance ManagerJob Description: Compliance Manager (Insurance) MarketSource Inc., an Allegis Group Company, develops and delivers innovative managed ... * Ensure compliance with regulatory obligations including Centers for Medicare and Medicaid Services (CMS), while applying a commercial and practical approach to… more
- Mount Sinai Health System (New York, NY)
- …such as IDX, Soarian, etc. + Knowledge of the New York State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, ... a strong plus. + Experience working in a health plan or consulting actuarial , financial reporting or medical economics departments highly valuable. + Experience as a… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary** Join CVS Health as an Actuarial Services Senior Manager , on the Medicare D Actuarial ... as well as the ability to develop relationships within/outside of the Actuarial Services Department. The ideal candidate will have strong problem solving, writing… more