- Humana (Columbus, OH)
- …team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary , Analytics/Forecasting ensures data ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...+ Experience in more than two functions (eg, modeling, pricing , rate filing, reporting & analysis, reserving or trending)… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Prime Therapeutics (Columbus, OH)
- …of actuarial work experience in a healthcare organization or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 5 years of ... career? Come build the future of pharmacy with us. **Job Posting Title** Principal Actuary - REMOTE **Job Description** The Principal Actuary is responsible for… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Lead Actuary , Risk and Compliance is responsible for the overall management and oversight of ... and recommends controls and cost-effective approaches to minimize risks. The Lead Actuary , Risk and Compliance works on problems of diverse scope and complexity… more
- CVS Health (Columbus, OH)
- …guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director ... and regulations pertaining to both pharmacy practice laws and Managed Medicaid /PBM regulations. The Pharmacy Director stays updated on changing regulations,… more
- Elevance Health (Mason, OH)
- …close collaboration with cross-functional partners-including Clinical Pharmacy, Formulary, Actuary , Pricing /Underwriting, and other key business leaders. ... therapeutic options leveraging clinical and analytic data for Commercial, Medicare, and Medicaid lines of business. + Refine model estimates based on real-time… more