- Evolent (Columbus, OH)
- …functions; partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial , EDWBI, Clinical, Performance Solutions and Partner Delivery. **What ... potential upside/downside risks of a given arrangement/proposal. + Partnering with actuarial , finance, and analytics teams to incorporate new products and strategy… more
- WTW (Columbus, OH)
- …+ Prepare for and present technology capabilities with a team of insurance / actuarial subject matter experts and technologists. + Meet with and advance decisions of ... of insurance functions especially product development, pricing, claims, underwriting and actuarial a plus. + Ability to work independently, autonomously and as… more
- Humana (Columbus, OH)
- …caring community and help us put health first** The Medicaid Pricing Actuary provides actuarial support across a broad range of actuarial and business needs for ... Medicaid product lines. The Actuary works on problems of diverse scope and complexity ranging from moderate to substantial. The Medicaid Pricing Actuary may be responsible for any combination of capitation rate review, drafting rate advocacy communications,… more
- Molina Healthcare (Cincinnati, OH)
- …multiple organizational functions - Payment Integrity, Claims, Encounters, Finance, and Actuarial + Proven experience in managing complex projects, including the ... and governance structures that span claims, encounters, clinical, finance and actuarial functions. + Identifies, develops and trains appropriate staff and implements… more
- Deloitte (Cleveland, OH)
- …present client presentations and reports-Conduct other Manager level health actuarial consulting activities, as required Qualifications Required: + Bachelor's degree ... + 6+ years of Health Actuary experience + Successfully passed 5 actuarial exams + Limited immigration sponsorship may be available + Ability to travel up to 50%, on… more
- Elevance Health (Cincinnati, OH)
- …in evaluating financial performance of complex organizations preferred. + BA/BS degree in Actuarial Sciences or Health Economics preferred. + Minimum of 5 years in ... healthcare industry in medical economics, provider finance, healthcare analytics, or actuarial services preferred. Please be advised that Elevance Health only… more
- Molina Healthcare (Akron, OH)
- …return files, and financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and communicate models ... forecasting of trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Plan, as well as interim forecasts throughout the year.Coordinates with Finance, Actuarial , Sales and other departments on key assumptions and estimates. + Develops ... data analysis, regression analysis, business modeling). + Knowledge of basic actuarial principles. + Ability to interpret and articulate standard business and… more
- Elevance Health (Cincinnati, OH)
- …trends in medical costs to provide analytic support for finance, pricing, and actuarial functions. + Analyzing health data to understand past trends, predict future ... payer systems preferred. + Experience in healthcare finance or healthcare actuarial analytics preferred. + Substantial analytical experience in the healthcare… more
- Molina Healthcare (OH)
- …responsible for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex ... in risk adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more