- Beth Israel Lahey Health (Westwood, MA)
- …making a difference in people's lives.** Under the supervision of the Executive Director of Contract Finance, the Manager, Medical Economics will be responsible for ... methodologies, risk-based payor contracts, trends in managed care finance, and actuarial concepts including IBNR. 4. Through clear written and oral communication,… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …50319 - Polk County, IA Job Type Full-time Job Number 25-03162 Agency 400 Health & Human Services - Medicaid Opening Date 05/21/2025 Closing Date 6/20/2025 11:59 PM ... Description As a division of the Iowa Department of Health and Human Services (HHS), Iowa Medicaid insures more...nearly $7 billion. Reporting directly to the Iowa Medicaid Director , the Chief Financial Officer is a key member… more
- Centene Corporation (Providence, RI)
- …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... decision-making. The Analyst will work closely with the VBP Manager, Director , and cross-functional teams to support contract implementation, performance tracking,… more
- Centene Corporation (Queens, NY)
- …28 million members as a clinical professional on our Medical Management/ Health Services team. Centene is a diversified, national organization offering competitive ... is the leading strategy in healthcare transformation aimed at improving positive health outcomes, advancing quality and ensuring equity in healthcare delivery today.… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …role does not manage people + This role reports to this job: REGIONAL DIRECTOR , GROUP AND INDIVIDUAL SALES Necessary Contacts: In order to effectively fulfill this ... position, the incumbent must be in contact with: Membership and Billing, Actuarial , Underwriting, Claims, Legal, Medical Review. All levels of employees as needed.… more
- State of Georgia (Fulton County, GA)
- …Social Services (https://careers.georgia.gov/landingpages/social-services-opportunities-at-team-georgia-7) Behavioral Health and Developmental Disabilities, Georgia ... Offender Risk Review Board (SORRB), Attached to DBHDD Reports to Executive Director Position Full Time Job Summary Conduct a legislatively guided risk… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is hiring a Product Manager, Intermediate to join the Product Development team. The team is based out of downtown Pittsburgh's US Steel Tower, and ... evangelist and part visionary the Product Manager, Intermediate works closely with the Director of Product Development and other areas of the company to assure that… more
- Kemper (Hartford, CT)
- …that delivers on our promises._ **Position Summary:** Kemper Auto is seeking a Market Director (Associate Product Manager). As a member of the Product team, you will ... a college degree in mathematics, statistics risk management or actuarial or related field, or the equivalent in related...enjoy great benefits:** * Qualify for your choice of health and dental plans within your first month. *… more
- Rexel USA (Dallas, TX)
- …+ Prepare quarterly Risk Management expenditure reports and reports for the annual actuarial review + Manage key relationships involved in oversight of claims within ... in settlement negotiations on all claims in liaison with Director , Risk Management, Legal, Outside Counsel, and Finance +...flexible personal days per year + Tuition Reimbursement + Health & Wellness Programs + Flexible Spending Accounts +… more
- ITW (Glenview, IL)
- …approach and excellent communication skills. The Risk Manager will report to the Director of Risk Management and work closely with the Risk Management Team. ... language in contracts for ITW operating businesses. + Oversee the quarterly actuarial analysis process. + Other duties assigned by the manager. **Job Requirements**… more