- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior ... the organization. **Responsibilities** + Own, build, support, and maintain financial and complex actuarial models + Lead,...process + Present results and analyses to key stakeholders, senior management, and clients + Mentor Actuarial … more
- Molina Healthcare (Cincinnati, OH)
- …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Columbus, OH)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership + Generate… more
- CVS Health (Columbus, OH)
- …pricing strategies. This role requires a strong understanding of regulatory frameworks, actuarial modeling, and healthcare economics. The candidate needs to be ... explore and integrate advanced analytics techniques where applicable. + Represent the actuarial analytics function in discussions with senior leadership and… more
- Molina Healthcare (OH)
- …**Job Summary** Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from ... signs of trends or other issues related to medical care costs. + Perform actuarial studies related to medical care costs and trends. + Generate and distribute… more
- Molina Healthcare (Cleveland, OH)
- …provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired + Multiple ... increasingly complex experience in quantifying, measuring, analyzing, and reporting financial /performance management metrics + Demonstrate Healthcare experience… more
- Elevance Health (Cincinnati, OH)
- …service delivery, reimbursement models, and payer systems preferred. + Experience in healthcare finance or healthcare actuarial analytics preferred. + ... predict, classify, quantify, and/or forecast business metrics. The **Advanced Analytics Analyst Senior ** will be responsible for analyzing healthcare cost data,… more
- Elevance Health (Cincinnati, OH)
- …about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products leveraging ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:** Atlanta, GA; Norfolk,...sciences background highly preferred. + Medical economics, provider finance, healthcare analytics, and/or financial services highly preferred.… more
- Elevance Health (Independence, OH)
- …to reduce report writing errors and rework. + Assists in training of actuarial trainees, analysts, and specialists. + Consults on all considerations related to ... the right members. + Develops methodology to measure clinical, utilization and financial outcomes of a program/initiative. + Conducts in-depth research to address… more