- Centene Corporation (Madison, WI)
- …a hands-on role in shaping strategy and performance. **In this Sr. Actuarial Analyst role, you will:** + Assist ** Medicare ** bid review and perform analytics ... on workplace flexibility. **Eligibility Requirement:** **To qualify for this Senior Actuarial Analyst role, applicants must be actively pursuing their… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …+ Solid understanding of Medicare and its related financial models, including Medicare FFS, Medicare Advantage , Medicare Part D, and ... member of the senior markets pricing team, within the Actuarial & Analytic Services department. This role provides the...BCBSMA, with a focus on senior product strategy and Medicare Markets. This candidate must be a creative thinker… more
- Elevance Health (Louisville, KY)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is...to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You… more
- Centene Corporation (Providence, RI)
- …and performance of Medicare -focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). This role ... in transforming healthcare to improve outcomes, advance quality, and promote equity. The Analyst , Value-Based Payment Initiatives (VBP) will support the expansion… more
- Molina Healthcare (Roswell, NM)
- …proficiency in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the ... trends in risk adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst … more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs ... modules related to Risk Adjustment for Medicaid, Marketplace and Medicare /MMP. + Assist Risk Adjustment Data Analytics Leaders in...like Python and R programming would be an added advantage . + 1-3 Years of experience in Analysis related… more
- AmeriHealth Caritas (Newtown Square, PA)
- …/ ROI data. + Oversee CAHPS and Stars analytics and improvement strategies for Medicare Advantage . + Ensure readiness for NCQA accreditation and other quality ... Quality Performance Reporting & Analytics and Risk Adjustment for Medicaid Quality, Medicare Stars, and Exchange QRS. This leader is accountable for driving strategy… more