- Somatus (Mclean, VA)
- …opportunities + And more! **About the Role** The Deputy Actuary provides management and leadership actuarial reporting. Responsibilities **Essential Duties ... and** **Responsibilities:** + Analysis of Medicare Advantage and Accountable Care Organization data. + Medical economics reporting and ad-hoc analysis relating to cost of care management.Develop KPIs and measurement tools to understand how the company is… more
- Insight Global (West Trenton, NJ)
- Job Description - As an Associate Actuary , you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... Potential projects include the following: - Perform pricing studies to evaluate the profitability of our Auto and Homeowners insurance products. Present results to the Executive Leadership Team (ELT) - Analyze rating variables and recommend pricing changes -… more
- Centene Corporation (Austin, TX)
- …for hiring, training, assigning work and managing performance of staff. **License/Certification:** Associate or Fellow of the Society of Actuaries (ASA or FSA). ... Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. **Position location:** Remote Nationwide **Position Purpose:** Oversee the… more
- CVS Health (Chicago, IL)
- …This is a key strategic role responsible for supporting medical pharmacy performance and profitability on the Aetna pharmacy team by driving high-performance med Rx ... 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 solutions company, we reach millions of Americans… more
- CVS Health (Blue Bell, PA)
- …Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare ... Part D product strategy and pricing of MAPD, SNP and PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve optimal outcomes within the… more
- The Cigna Group (Austin, TX)
- …of the Role include:** Product Support / Development + Co-lead development of Actuarial analytics products for Express Scripts existing Part D Plans + Perform ... financial analyses of proposed regulatory changes, demonstration programs, and other special programs by CMS to determine financial impact on various entities within the drug supply chain + Develop actuarial models to aid in prospective projections of Medicare… more
- UPMC (Pittsburgh, PA)
- …+ Design and develop value-based contract project work, and determine the performance measures, associated benchmarks, and other contractual components. + Analyze ... membership, risk score, claim and other available internal and external data, monitor emerging trends, and identify issues. + Analyze and create ACO contracts, PCMH arrangements, Global Capitation, Bundled Rates, Episodic Payments, Capitation, Risk Adjusted… more
- Lincoln Financial (Fort Wayne, IN)
- …allowing for growth. **What you'll be doing** **Actuarial Process Steward** + Gain in-depth knowledge of monthly, quarterly and annual valuation production duties for ... **Alternate Locations:** Radnor, PA (Pennsylvania); Charlotte, NC (North Carolina); Fort Wayne, IN (Indiana); Greensboro, NC (North Carolina); Hartford, CT (Connecticut); Omaha, NE (Nebraska) **Work Arrangement:** Hybrid/Common Days+ : Work 2-3 days a week in… more
- CVS Health (Hartford, CT)
- …Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. This role is focused on ... determining and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy business. Use clinical knowledge and financial modeling to drive discussion and decisions on… more
- MetLife (Charlotte, NC)
- …* Provides product positioning and coaching to regional management teams. * Leads renewal and RFP pricing for existing products clients, as well as leads development ... Role Value Proposition: This strategic actuarial position will play an integral role on the MetLife Resources (MLR)leadership within Retirement Income Solutions (RIS). The MLR business provides group defined contribution retirement plan products and services… more