• Director Reimbursement Design & Market Evaluation

    Highmark Health (Harrisburg, PA)
    …Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary , Finance, Highmark Health Solutions, Health Plan ... business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding...with regard to our strategy. + Work in a Health Economist approach to build and maintain analytical models… more
    Highmark Health (07/30/25)
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  • Market Underwriter - HNAS

    Highmark Health (Harrisburg, PA)
    …in lieu of degree **Preferred** + None **EXPERIENCE** **Required** + 3 years of Health Care Underwriting OR risk mgmt OR actuary work OR applying advanced ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** HNAS (...**Preferred** + 1 year in Risk Management **OR** of Actuary work **OR** of applying Advanced Mathematics **LICENSES or… more
    Highmark Health (07/02/25)
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  • Reimbursement Economics Analyst

    Highmark Health (Harrisburg, PA)
    …Inc. **Job Description :** **JOB SUMMARY** This job supports Highmark Health 's Value-Based Reimbursement, Strategy & Innovation Team. The incumbent works closely ... customers, including but not limited to VBR team members, operations, actuary , provider relations, strategic integration and advanced analytics and reporting. The… more
    Highmark Health (06/25/25)
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  • Director, Actuarial & Analytics - BSI Pricing

    Travelers Insurance Company (Blue Bell, PA)
    …& Omissions (E&O) coverage for key strategic business segments. As PL lead actuary , this role will partner directly with the business to drive profitable results ... insights to help set strategy for the business. As lead PL Actuary , specific responsibilities include supporting five distinct customer segments within the business… more
    Travelers Insurance Company (08/23/25)
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  • Clinical Transformation Director

    Highmark Health (Harrisburg, PA)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
    Highmark Health (08/21/25)
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  • VP Medicaid Markets CEO

    Highmark Health (Pittsburgh, PA)
    …+ Develop strategic goals and business plans to be executed at the health plan. Collaborate on the development and oversee implementation and reporting of the ... required by local, state, and federal officials/ agencies. + Work with Actuary , Finance, Executive Leadership and key business partners, lead the state contract… more
    Highmark Health (07/08/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …Minimum: + Bachelor's degree + Ten or more years' work experience in health care with emphasis on analysis and process optimization + At least five ... and unique issues and proficiency in the healthcare industry + Credentialed Actuary (FSA/ASA) or Advanced Degree (MBA) Language (Other than English): None Travel… more
    Highmark Health (07/30/25)
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  • Pharmacy Strategy Advisor - Cigna Healthcare…

    The Cigna Group (Philadelphia, PA)
    …and Accredo in addition to the Enterprise Strategy team, Finance, Actuary , Sales, and Senior Leadership. Excellent organizational skills, attention to detail ... of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll...day one of your employment, you'll be offered several health -related benefits including medical, vision, dental, and well-being and… more
    The Cigna Group (08/22/25)
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  • AVP, Threat Intel

    Travelers Insurance Company (Philadelphia, PA)
    …claims. + Stay current on evolving risk trends and partner with Underwriting, Actuary , Data Science, Technology, Marketing, and Product to turn our threat insights ... + 5 years leading technical teams. **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members - including spouses, domestic… more
    Travelers Insurance Company (08/26/25)
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  • Manager, Actuarial and Analytics - BSI Reserving

    Travelers Insurance Company (Harrisburg, PA)
    …how this transition happens, and help define the role of tomorrow's reserving actuary . **What Will You Do?** + Perform quarterly analysis of loss reserves for ... experience in quantitative analysis required.** **What Is in It for You?** + ** Health Insurance** : Employees and their eligible family members - including spouses,… more
    Travelers Insurance Company (08/22/25)
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