• Lead Actuary , SPA-Rx Part B Pricing

    Humana (Charleston, WV)
    …diverse scope and complexity ranging from moderate to substantial. Part B Pharmacy Pricing ** Lead Actuary ** Part B Pharmacy Pricing + Own the Medicare Advantage ... and Group benefit cost projections for the Part B pharmacy benefit. The lead actuary 's team will review actual to expected data, build and maintain projection… more
    Humana (11/01/24)
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  • Lead Actuary , Group Benefits…

    Lincoln Financial Group (Charleston, WV)
    …for this opportunity. **Requisition #:** 73532 **The Role at a Glance** This position will lead a team that is responsible for a pricing and rating model for all the ... Gorup Benefits Products. They will provide subject matter expertise for the various technical systems used in pricing. They will develop and perform complex actuarial analysis and provide recommendations for leveraging the pricing model across the business… more
    Lincoln Financial Group (10/09/24)
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  • Associate Actuary , Analytics/Forecasting

    Humana (Charleston, WV)
    …our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... is in the Home organization at Humana. This Associate Actuary role provides an opportunity to work in a...of actual to expected results on financial performance + Lead discussion with senior leadership regarding assumptions and identifying… more
    Humana (10/29/24)
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  • AVP & Actuary , Life Experience Management…

    Lincoln Financial Group (Charleston, WV)
    …**Requisition #:** 73798 **The Role at a Glance** The AVP & Actuary , Life Experience Management will provide leadership, strategic direction, and technical expertise ... of executing experience studies and assumption development. You will lead a team responsible for the design and development...knowledge, institute best practices, and develop shared insights. + Lead a team of professionals in the execution of… more
    Lincoln Financial Group (10/11/24)
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  • Manager Strategic Risk Adjustment Programs

    Highmark Health (Charleston, WV)
    …Inc. **Job Description :** **JOB SUMMARY** Role requires the incumbent to: + ** Lead and manage a team of interoperability and risk adjustment SMEs:** Provide ... and programs as necessary; may have budgetary responsibility and authority. + Lead the day-to-day execution of Strategic Risk Adjustment Program engagements taking… more
    Highmark Health (10/08/24)
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  • Value-Based Reimbursement Strategic Partners…

    Highmark Health (Charleston, WV)
    …and deployment of all VBR Design models. **ESSENTIAL RESPONSIBILITIES** + Support and lead , as needed, the development and completion of sales cycle (from model ... of maximizing quality while reducing healthcare costs. + Work with reimbursement, actuary , and analytic departments to ensure that operational capabilities are built… more
    Highmark Health (10/10/24)
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  • Actuarial Consultant

    Public Consulting Group (Charleston, WV)
    …www.publicconsultinggroup.com . **Duties and Responsibilities** **Actuarial** + Serve as an actuary and carry out related project work across multiple public health ... + Manages daily project functions and client interaction + Serves as project lead and primary client contact for one or more projects relating to healthcare… more
    Public Consulting Group (08/23/24)
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