- CVS Health (Blue Bell, PA)
- …Establish best practices, ensure consistency, and provide guidance to the broader Individual Medicare actuarial pricing team. Leading and developing a team of ... will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual...actuaries responsible for supporting the IVL MA actuarial team, local market partners, and Medicaid partners to… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** Join our team as Director , Actuarial Services - Medicare Pricing and lead our Medicare pricing function for all Blue Cross NC ... Medicare products. You will develop and ensure application of actuarial policies, processes and methodologies. Responsible for financial stewardship of Blue Cross… more
- Elevance Health (Atlanta, GA)
- ** Actuarial Director - Level Funding Pricing** _Location: This role requires associates to be_ **_in-office 3 days per week_** _, fostering collaboration and ... an accommodation is granted as required by law._ The ** Actuarial Director - Level Funding Pricing** is...provider price transparency, No Surprises Act, Affordable Care Act, Medicare Reference Pricing, CMS value-based payments and other health… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid ... Director of Risk Adjustment and Quality Analytics to lead a team that delivers insights and results in...Responsibilities * Performs risk score computation and forecasting for Medicare , ACA, and Medicaid. * Oversees diagnostic coding gap… more
- CVS Health (Hartford, CT)
- …all with heart, each and every day. **Position Summary** The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial ... + Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business...growth, and margin performance to actionable financial goals. + Lead teams performing financial planning, forecasting, and reporting processes… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. Executive Director , Medicare Part D Strategy leader will lead the development and advancement of the ... strategy integrates with overall Medicare Advantage and Medicare Supplement objectives. * Collaborate with Actuarial ...rebate yield, PBM fees, and CMS settlement outcomes. * Lead development of scenario analyses for formulary and pricing… more
- Banner Health (Phoenix, AZ)
- …products. This role will also be responsible for the strategic development of the actuarial and healthcare economic departments. Will lead the Actuarial team ... **Primary City/State:** Phoenix, Arizona **Department Name:** Actuarial -BHN Cntr **Work Shift:** Day **Job Category:** General...Cntr **Work Shift:** Day **Job Category:** General Operations Help lead health care into the future. As one of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …alignment with regulatory requirements, financial objectives, and organizational strategy. The Director oversees programs such as Medicare Stars, HEDIS, ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Value Performance Quality Location: Hybrid | Eagan, Minnesota Career… more
- Centene Corporation (Queens, NY)
- …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning strategic ... of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanning the needs of multiple health… more
- Point32Health (NH)
- …physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a team who negotiates contracts including risk ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
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