• Lead Medicaid Actuary (Manager)

    Humana (Jefferson City, MO)
    …a part of our caring community and help us put health first** The Lead Actuary provides support across a broad range of actuarial, managerial, and business needs for ... Medicaid-specific product lines. The Lead Actuary will serve as a project manager in addition...on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and… more
    Humana (08/27/25)
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  • Clinical Transformation Director

    Highmark Health (Jefferson City, MO)
    …value-based reimbursement team, provider relations, senior markets, analytics, actuary , and key internal/external stakeholders. **ESSENTIAL RESPONSIBILITIES** + ... anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non-clinical workforce activity. + **Relationship Management &… more
    Highmark Health (08/21/25)
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  • Director Reimbursement Design & Market…

    Highmark Health (Jefferson City, MO)
    …include Advanced Analytics, Contracting, Market and Provider support teams, Actuary , Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL ... RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff,… more
    Highmark Health (07/30/25)
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