- Humana (Hartford, CT)
- …of our caring community and help us put health first** The Associate Actuary , Pricing is responsible for setting pricing assumptions, submitting bids, filing and ... maintains pricing tools that price standard and custom benefits. The Associate Actuary , Pricing work assignments involve moderately complex to complex issues where… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** As a Consulting Actuary at our healthcare organization, you will play a pivotal role in shaping the future of care delivery through ... innovative insurance products, optimizing pricing strategies, or evaluating advanced care management models. Your work will support key organizational goals… more
- Somatus (Mclean, VA)
- …**Essential Duties and** **Responsibilities:** + Analysis of Medicare Advantage and Accountable Care Organization data. + Medical economics reporting and ... **More Lives, Better Lived(R)** As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic… more
- Centene Corporation (Austin, TX)
- …behaviors, and the impact of pricing or product design decisions. + Accountable for the development of the organization's rate structure, maintenance of adequate ... Master's degree preferred. 10+ years of actuarial experience. Knowledge of Health Care Reform (ACA) regulations and implications on actuarial services and risk… more
- AIG (Atlanta, GA)
- …and recommending actions for improved profitability. The role will report into the Chief Actuary , North America. + Be accountable for the North America Financial ... and Risk Management, among other functions. As an AIG actuary , you will be challenged and encouraged to reach...our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are… more
- Highmark Health (Albany, NY)
- …population health, ambulatory care setting quality and efficiency metrics, accountable care organization development and support, patient centered medical ... of the value-based reimbursement team, provider relations, senior markets, analytics, actuary and key internal/external stake holders to provide the most appropriate… more
- Highmark Health (Pittsburgh, PA)
- …revenue and cost trends to achieve revenue targets and improve quality of care for our members. Drives the coordination with multiple stakeholders to implement and ... adjusted government programs (Medicare Advantage, ACA business, and Medicaid). Also work with Care Management to ensure that this information is used to improve the… more
- Somatus (Mclean, VA)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development...communicate healthcare cost trends, issues, and total cost of care drivers. + Assist leadership in developing and evaluating… more
- AIG (Atlanta, GA)
- …best meets clients' needs. + Working collaboratively with home office, distribution, actuary , claims, loss control, premium audit, credit and legal to develop and ... orientated behaviors: motivated, tenacious, focused, technically skilled, proactive, and accountable . + Strong presentation, negotiation, communication, and business development… more
- AIG (Chicago, IL)
- …and foster business development Working collaboratively with home office, distribution, actuary , claims, loss control, premium audit, credit and legal to develop ... orientated behaviors: motivated, tenacious, focused, technically skilled, proactive, and accountable . + An interest in mentoring and training if...our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are… more
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