- Humana (Columbus, OH)
- …team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary , Analytics/Forecasting ensures data ... and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy,...+ Experience in more than two functions (eg, modeling, pricing , rate filing, reporting & analysis, reserving or trending)… more
- Humana (Jackson, MS)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Prime Therapeutics (Indianapolis, IN)
- …of actuarial work experience in a healthcare organization or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 5 years of ... career? Come build the future of pharmacy with us. **Job Posting Title** Principal Actuary - REMOTE **Job Description** The Principal Actuary is responsible for… more
- Humana (Honolulu, HI)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Lead Actuary , Risk and Compliance is responsible for the overall management and oversight of ... and recommends controls and cost-effective approaches to minimize risks. The Lead Actuary , Risk and Compliance works on problems of diverse scope and complexity… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Chief Health Actuary ** **Job Class: Director Actuarial and Regional Policy Analyst** **Agency: Commerce Department** + **Job ID** : 90317 + ... and MEWAs. Assist other agencies in technical calculations used to collect Medicaid surcharge taxes, which provides approximately $39 million of revenue to the… more
- Banner Health (Phoenix, AZ)
- …organizations to coordinate rate filings and year-end financials. Is responsible for all pricing , rate development and filings for all products. This role will also ... analyzing, developing, and/or submitting Medicare Advantage and Prescription Drug plan bid pricing tools and/or plan benefit packages. This role will ensure the… more
- Sutter Health (Sacramento, CA)
- …Provides guidance on a range of topics such as utilization, product pricing including benefit design, contracting, premium revenue, and trend forecasting. Monitors ... (MAAA) preferred **SKILLS AND KNOWLEDGE:** + Expertise in actuarial pricing , underwriting, statistical modeling, analytics, networks, forecasting and reserve… more
- CVS Health (Blue Bell, PA)
- …and Aetna is aggressively expanding into this market. This position provides an ambitious actuary the opportunity to get into a growth story early, work closely with ... all of the above effectively. Coordinating the analytics, reporting, and pricing /bidding best practices of Aetna's SNP segment, across all Aetna geographies,… more