• Provider Transformation Specialist (RN- New York))

    Highmark Health (Albany, NY)
    …of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate ... and/or hospital resources for providers employed in multi-specialty groups or health systems. + For value based contracts addressing government markets, directly… more
    Highmark Health (02/18/25)
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  • (USA) Senior Manager, Risk Management

    Walmart (Bentonville, AR)
    **Position Summary ** We are seeking an experienced Actuary to join our Casualty team in supporting Walmart's risk management and insurance programs. As a key member ... business, and creating value for our stakeholders. As an Actuary , you will play a critical role in helping...great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial… more
    Walmart (03/04/25)
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  • Market Director - (DE Market)

    Highmark Health (Wilmington, DE)
    …increasing quality, lowering cost, and increasing patient satisfaction. Work with actuary and informatics teams to develop population health tools/reports, ... of positive, collegial relationships between the corporation and the provider and health system community. The incumbent is responsible for engaging entities on… more
    Highmark Health (03/13/25)
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  • Provider Contracting Senior Manager, National…

    CVS Health (Columbus, OH)
    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 .... Serve as a liaison among internal customers, operations, actuary , product, and analytic teams to ensure reimbursement initiatives… more
    CVS Health (04/17/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Pittsburgh, PA)
    …Minimum: + Bachelor's degree + Ten or more years' work experience in health care with emphasis on analysis and process optimization + At least five ... and unique issues and proficiency in the healthcare industry + Credentialed Actuary (FSA/ASA) or Advanced Degree (MBA) Language (Other than English): None Travel… more
    Highmark Health (04/30/25)
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  • Risk Insurance Analyst

    Fairview Health Services (St. Paul, MN)
    …and to obtain the names of those boards. Gather exposure data for actuary and assist with reviewing actuarial reports. Assist with preparing and tracking annual ... management, commercial insurance and/or self-insurance experience Captive insurance experience Health care experience Minnesota Property Casualty Insurance Agent License… more
    Fairview Health Services (03/04/25)
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  • Sr Financial Analyst

    University of Rochester (Rochester, NY)
    …Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 100120 University Health Service Work Shift: UR - Day (United States of America) Range: UR ... and financial risk mitigation for the $18 million Student Health Insurance Plan (SHIP). The Manager develops and evaluates...with those findings. + Manages processes and products from actuary , CPA, third party audits, etc. **Financial Analysis and… more
    University of Rochester (04/10/25)
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  • Vice President, Corporate Network Policy…

    AmeriHealth Caritas (Newtown Square, PA)
    …products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us ... model. Manages National Contacts, Network Strategy, CPNM Communication and Training, and Health Delivery Systems functions. This position must have and maintain a… more
    AmeriHealth Caritas (05/02/25)
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  • Benefits Supervisor II (Human Resources…

    City of Detroit (Detroit, MI)
    …on specialized employee benefit matters. + Coordinates with Information System, Accounting, Actuary and Business Services Divisions to gather and analyze data, to ... + Knowledge of administration of employee benefits programs including pension or health , disability and dental programs. + Knowledge of City, federal and state… more
    City of Detroit (04/11/25)
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  • Director of Actuarial and Risk Adjustment Services

    Marshfield Clinic (Marshfield, WI)
    …and acquisition activities and assistance with strategic positioning of the integrated health system. The Director of Actuarial & Risk Adjustment Services partners ... with the Chief Actuary to lead unit development and execution of strategy...data-driven solutions that positively impact the improvement of members' health and lower the total cost of care. The… more
    Marshfield Clinic (03/31/25)
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