- Lincoln Financial (Radnor, PA)
- …#:** 74220 **The Role at a Glance** We're excited to bring on an Actuary , Annuity Model Development, to play an integral role focused on developing industry-leading ... model capabilities and collaborating with key stakeholders to ensure our models are optimized to deliver on a broad array of critical business needs. The individual will work with stakeholders to identify and prioritize quarterly model enhancements and… more
- Lincoln Financial (Radnor, PA)
- …#:** 74395 **The Role at a Glance** We're excited to bring on an Actuary , Annuity & RPS Strategic Modeling, to play an integral role in supporting strategic ... initiatives for Annuity and Retirement Plan Services business. This is a project-based role spanning multiple product lines. The responsibilities include, but are not limited to, modeling and quantification of new regulatory requirements, implementation of… more
- CVS Health (Blue Bell, PA)
- …This is a key strategic role responsible for supporting medical pharmacy performance and profitability on the Aetna pharmacy team by driving high-performance med Rx ... At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans… more
- CVS Health (Blue Bell, PA)
- …Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare ... Part D product strategy and pricing of MAPD, SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve optimal outcomes within the… more
- The Cigna Group (Philadelphia, PA)
- …of the Role include:** Product Support / Development + Co-lead development of Actuarial analytics products for Express Scripts existing Part D Plans + Perform ... financial analyses of proposed regulatory changes, demonstration programs, and other special programs by CMS to determine financial impact on various entities within the drug supply chain + Develop actuarial models to aid in prospective projections of Medicare… more
- UPMC (Pittsburgh, PA)
- …+ Design and develop value-based contract project work, and determine the performance measures, associated benchmarks, and other contractual components. + Analyze ... membership, risk score, claim and other available internal and external data, monitor emerging trends, and identify issues. + Analyze and create ACO contracts, PCMH arrangements, Global Capitation, Bundled Rates, Episodic Payments, Capitation, Risk Adjusted… more
- Lincoln Financial (Radnor, PA)
- …allowing for growth. **What you'll be doing** **Actuarial Process Steward** + Gain in-depth knowledge of monthly, quarterly and annual valuation production duties for ... **Alternate Locations:** Radnor, PA (Pennsylvania); Charlotte, NC (North Carolina); Fort Wayne, IN (Indiana); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Omaha, NE (Nebraska) **Work Arrangement:** Hybrid/Common Days+ : Work 2-3 days a week in… more
- CVS Health (Blue Bell, PA)
- …As a member of the Commercial Pharmacy Actuarial team, this position is responsible for developing pharmacy trend forecasts for Commercial and Exchange fully insured ... and AFA businesses, robust analysis of monthly financial results, and ensuring the integrity of pharmacy pricing strategy. Will lead a team of 3 - 4 analysts with a focus on: + Reducing underlying costs by optimizing discounts, formulary, clinical programs,… more
- Public Consulting Group (Harrisburg, PA)
- …+ Supports Actuarial Analysis and Financial Modeling + Reviews and be the expert in the business operations for service and efficiency improvements. + Evaluate ... programs and makes recommendations for improvements. + Analyzes and interprets federal and state law and regulation. + Assesses best practices and provide technical assistance to clients. + Manages small projects, staff and tasks with limited supervision while… more
- CVS Health (Blue Bell, PA)
- …The National Medical Cost Analytics team in the Medical Economics Unit is seeking an actuarial professional with the primary role of leading the development of ... Aetna's HCB medical cost and trend analysis thru MENTOR and Emerging Trends reporting. This role will use business acumen to serve as a liaison to business leads and stakeholders in actuarial, product, network, finance, etc. to provide actionable insight in… more