- CVS Health (Providence, RI)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...managing RFP process working with cross-functional teams (underwriting, legal, actuarial , marketing) to develop compelling and compliant RFP submissions.… more
- CVS Health (Hartford, CT)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Providing consultative support to finance stakeholders and working alongside actuarial and Network team members to ensure the accurate… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …payer strategy with corporate strategic objectives including population health contracting, contract management, operations processes and government reimbursement ... will act as a liaison with Utilization Management, Care Management and Actuarial /Finance to ensure appropriate strategies are developed and implemented relative to… more
- Providence (WA)
- **Description** **Providence Health Plan** caregivers are not simply valued - they're invaluable. Join our team in and thrive in our culture of patient-focused, ... Data Analytics department. The Principal must maintain an understanding of the changing health care trends and Risk Adjustment regulations and the impact of such… more
- AON (Tampa, FL)
- …colleagues and clients succeed. What the day will look like As a PEO Health Insurance Underwriter, your day will be a blend of strategic analysis and collaboration, ... focused on developing tailored health insurance solutions for Professional Employer Organizations (PEOs). You'll work with both internal teams and external partners… more
- AON (Tampa, FL)
- …our colleagues and clients succeed. What the day will look like As a PEO Health Insurance Underwriting Manager, your day will be a blend of strategic analysis and ... collaboration, focused on developing tailored health insurance solutions for Professional Employer Organizations (PEOs). You'll work with both internal teams and… more
- Commonwealth Care Alliance (Boston, MA)
- …development for that variation. The role works collaboratively with Finance, Actuarial , Medical Economics, and Clinical Operations to ensure that monitoring of ... role will use existing reporting or create new reporting to continuously monitor health plan trends and variation in medical expense, utizliation, and unit cost and… more
- Highmark Health (Boise, ID)
- …ARM, etc.) **LICENSES OR CERTIFICATIONS** Required: + Producer's license for Life, Health , & Accident Preferred: + None **Skills** + Demonstrated quantitative skills ... comprehensive understanding of underwriting policy, procedures, rating methodology and actuarial techniques + Demonstrated knowledge of standard underwriting guidelines… more
- BrightSpring Health Services (Louisville, KY)
- …entities in Primary Care including a Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs ... claims. + Assist with preparing and submitting statutory filing requirements, Actuarial needs, Annual financial audits, and other audit engagements as they… more
- Medical Mutual of Ohio (Brooklyn, OH)
- Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million ... members through our high-quality health , life, disability, dental, vision and indemnity plans. We...well as interim forecasts throughout the year.Coordinates with Finance, Actuarial , Sales and other departments on key assumptions and… more