• P&C Reserving and Capital Modeling Proposition…

    WTW (New York, NY)
    **Description** Are you an accomplished actuary looking to leverage your leadership and relationship-building skills to shape the future of reserving and capital ... for North America, working closely with global teams. + Engage with senior clients and prospects across North America, providing insights, strategic guidance, and… more
    WTW (08/01/25)
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  • Vice President, Medical Economics

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …teams impacting Plan and Account business objectives. Including those with senior leadership representation (SVP, VP). Examples include Medical Expense Team, Segment ... the back-up and spokesman for the SVP & Chief Actuary and operates as a department ambassador for projects...initiatives. + Team oriented/collaborative - ability to work with senior management team to ensure achievement of corporate goals… more
    Blue Cross Blue Shield of Massachusetts (06/24/25)
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  • Director, Medical Cost Economics

    UPMC (Pittsburgh, PA)
    **Purpose:** The Department of Health Economics is seeking a credentialed health actuary with a strong background analyzing claims data. This position would drive ... year) for meetings/conferences. **Responsibilities:** + Partner with Health Plan senior leadership for creative problem-solving and strategic decision-making involving… more
    UPMC (06/21/25)
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  • SVP, Finance

    Somatus (Mclean, VA)
    …and mental well-being + Community engagement opportunities + And more! The Senior Vice President of Finance will lead financial activities that support critical ... the company for a successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development and negotiation to structure our… more
    Somatus (06/18/25)
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  • Provider Transformation Specialist (RN- Western…

    Highmark Health (Buffalo, NY)
    …with the other members of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to ... provide the most appropriate support for providers with gain/risk share contracts. **ESSENTIAL RESPONSIBILITIES** + Directly responsible for supporting providers contracted in the Organization's gain/risk share programs, with a goal of maximizing quality and… more
    Highmark Health (08/04/25)
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  • Lead Actuarial Consultant

    ICW Group (San Diego, CA)
    …a high-impact, senior individual contributor role designed for an experienced actuary who is ready to take on complex pricing challenges and influence strategic ... decisions. You will play a key role in developing and modernizing pricing tools, generating strategic insights, and guiding product and portfolio decisions. This position offers an excellent opportunity to deepen technical expertise, broaden business… more
    ICW Group (08/01/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …and compliance risks. + Build statistically sound strategies to evaluate and educate senior management of the risk and rewards involved in key risk revenue ... 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 (07/30/25)
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  • Risk Adjustment Revenue Director (Remote/Hybrid)

    Marshfield Clinic (Marshfield, WI)
    …Plan's Medicare, Affordable Care Act and Medicaid business and reports to the Senior Director, Chief Actuary . This individual is directly responsible for the ... development and implementation of programs and initiatives to improve the accuracy of the coding, including education; retrospective and prospective review processes; and vendor contract management; accountability for preparation for and management of the… more
    Marshfield Clinic (07/29/25)
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  • Delegated Governance Strategy Lead

    The Hartford (Hartford, CT)
    …Global Specialty business partners and key stakeholders across the organization (ie Actuary , Finance, Legal, Agency Compensation, IT, etc.). + Engage and influence ... and leadership team + Ability to collaborate with and understand the needs of senior leadership and their staff and translating those needs into actions + Ability to… more
    The Hartford (07/19/25)
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  • Actuarial Analyst I/II/III/IV

    Excellus BlueCross BlueShield (Rochester, NY)
    …Plan and develops impact analyses, processes and guidelines. + Collaborates with senior leadership in meeting corporate goals and strategic planning and decision ... Bachelor's Degree in a related field with at least one (1) Society of Actuary (SOA) exam passed required. + Prior actuarial or related insurance industry experience… more
    Excellus BlueCross BlueShield (07/14/25)
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