- UPMC (Pittsburgh, PA)
- …whatever you'd like to do, UPMC has a place for you. UPMC Health Plan's growing Actuary department is seeking a Director, Actuary to ensure that the UPMC Health ... affect health plan financial profitability. + Work with the UPMC HP Appointed Actuary to ensure satisfactory filings of annual Statements of Actuarial Opinion and… more
- Lincoln Financial (Radnor, PA)
- …techniques in AXIS + Partner with external stakeholder groups including: Valuation Actuary , Appointed Actuary , Qualified Actuary , Finance, Accounting, Audit, ... Product Development, and Risk Management to implement model changes corresponding to new product features and releases, regulatory requirements, assumption, and model logic updates, etc. + Provide technical expertise and leadership overseeing changes to the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …limited to, Business Development, Contracting, Provider Performance, Pricing, Actuary , Communications, Training, Human Resources, Government Relations, IT, Legal, ... Regulatory, Compliance and each of our Markets and Products. **Education & Qualifications:** + Bachelor's degree required. + MBA, MHA, MPA degree preferred. + 10 plus years of progressively responsible experience in healthcare operations with expertise in… more
- Highmark Health (Pittsburgh, PA)
- …and unique issues and proficiency in the healthcare industry + Credentialed Actuary (FSA/ASA) or Advanced Degree (MBA) Language (Other than English): None Travel ... Requirement: 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the… more
- UGI Corporation (King Of Prussia, PA)
- …insurance carriers and the proper communication of case reserves to the TPA, Actuary and Accounting. + Coordinates the insurance programs with the business units. ... Duties: + Design, implement, and manage comprehensive corporate insurance programs including property, casualty, liability, D&O, cyber, and other specialized coverages in collaboration with the Director, Corporate Risk and Insurance. + Co-Lead insurance… more
- Humana (Harrisburg, PA)
- …of variable factors. The Senior Market Finance Professional works with Actuary , MRA, Corporate Finance, Clinical and Market Point internally and ... Providers/Hospitals/Ancillary externally to drive optimization inclusive of activities spanning decisions required for day-to-day operations to strategic planning and addressing specific business performance issues across matrixed organization and fostering… more
- AmeriHealth Caritas (Newtown Square, PA)
- …with business development, product leadership, medical management, pricing and actuary , provider performance programs, and local provider network resources to ... lead and deploy programmatic solutions, as well as to respond to proposals. Manages operational reporting team, as well as the provider experience team, including provider communications, training, and measurement. The Corporate Director, Network Strategy will… more
- CVS Health (Harrisburg, PA)
- …enterprise scaling. . Serve as a liaison among internal customers, operations, actuary , product, and analytic teams to ensure reimbursement initiatives meet the ... needs of internal and external customers. **Required Qualifications** . 5+ years of experience in value-based care in contracting, provider relations, provider operations and/or solutions. . Experience in Value Based Care financial models. . Experience in… more
- WTW (Philadelphia, PA)
- **Description** WTW is looking for a pricing actuary with personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance ... Consulting and Technology (ICT) practice. In this role, you will collaborate with our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to our personal lines insurance clients. ICT… more
- Highmark Health (Blue Bell, PA)
- …increasing quality, lowering cost, and increasing patient satisfaction. Work with actuary and informatics teams to develop population health tools/reports, care ... alignment reports, and other resources that will produce value for Highmark, the provider partner, and the member. + Utilize data to make informed decisions, negotiation skills to achieve desired results, and project management skills to ensure successful… more