- CVS Health (Hartford, CT)
- …day. **Position Summary** Aetna is recruiting for a Senior Manager , Actuarial who will support the Medicare Network. They will work to understand Network ... this important line of business. This is an entirely Medicare focused role surrounding delivering on our overarching ...Medicare focused role surrounding delivering on our overarching Medicare network strategy. **You will make an impact by:**… more
- Healthfirst (NY)
- …products + Review and quantify any regulatory / CMS proposals and/or changes to the Medicare program + Assist in other actuarial functions such as in incurred ... Finance or any related degree + Experience in the actuarial field related to Medicare (bid development/review, analysis, reporting, risk scores) + Ability to… more
- Centene Corporation (Cheyenne, WY)
- …fresh perspective on workplace flexibility. **Eligibility Requirement:** To qualify for the Manager , Actuarial Services role, applicants must hold a bachelor's ... leader for the **Coordinated Care Medicaid health plan in Washington State** . The Manager , Actuarial Services is responsible for leading actuarial functions… more
- The Cigna Group (Bloomfield, CT)
- …position will provide external actuarial analytics support within the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This ... supply teams. The role will assist in development of actuarial analyses for Medicare Part D business,...D bid development consulting experience preferred + Regulated Markets Medicare Part D Experience Pharmacy Benefit Manager … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Bring your true colors to blue. The Medicare Risk Adjustment Strategy Program Manager will report to the Senior Director of Medicare Risk Adjustment ... limited to, Medicare Product, Provider Contracting, Health and Medical Management, Actuarial , and Finance + Actively manage the facilitation of the Risk Revenue… more
- Elevance Health (Louisville, KY)
- ** Medicare Risk Adjustment Advanced Analytics Consultant** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per week,** ... unless an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Advanced Analytics Consultant** is responsible for employing advanced… more
- Martin's Point Health Care (Portland, ME)
- … actuarial expertise and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) ... matrix management environment. Job Description Key Outcomes: + Support the annual Medicare Advantage and Prescription Drug (MA/PD) bid development by working with… more
- CareOregon (Portland, OR)
- Job Title Senior Vice President, Finance Requisition # 25016 Exemption Status Exempt Management Level Senior Vice President Direct Reports Vice President, ... Controller, Finance Directors Manager Title Chief Financial Officer Department Finance Pay and Benefits Estimated hiring range $259,290 - $316,910 /year, 10% bonus… more
- CVS Health (Harrisburg, PA)
- …supporting complex Capitation analyses that support our strategic goals for Medicaid, Medicare , IFP and commercial, and working collaboratively with the Network to ... healthcare data, metrics & coding structures + Understanding of both Commercial and Medicare plans to help network partners to make sound decisions to drive… more
- Tucson Electric Power (Tucson, AZ)
- …Takes initiative to grow in functional knowledge; requests guidance or approval from more senior Benefits Analysts or the Manager while gaining experience as a ... . Gathers data and performs analysis in support of actuarial valuations, working with actuaries to ensure timely and...in subject matter; requests guidance or approval from more senior Benefits Analysts or the Manager , as… more
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