• Director Risk Adjustment and Quality…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid | Eagan, Minnesota Career ... trends to support bid development and financial forecasting. * Tracks and evaluates risk adjustment initiatives performance across Medicare , ACA, and… more
    Blue Cross and Blue Shield of Minnesota (11/01/25)
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  • Consulting Actuary - Medicare Risk

    BlueCross BlueShield of North Carolina (NC)
    …9 years of relevant actuarial experience. **Bonus Points** + Experience in Medicare Advantage Risk Adjustment highly preferred **What You'll Get** + ... shaping the future of care delivery through data-driven insights and strategic actuarial expertise. You'll lead initiatives that directly impact patient outcomes and… more
    BlueCross BlueShield of North Carolina (09/05/25)
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  • Senior Risk Adjustment Analyst-…

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... the impact of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists in designing an overall suite… more
    CareFirst (09/26/25)
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  • Team Leader Actuarial Services

    Excellus BlueCross BlueShield (Rochester, NY)
    …internal and external to ensure accuracy. Supervises reporting, valuation, and forecasting of risk adjustment score and revenues to support partners internal and ... adjudication and reporting. + Provides input into product development process. + Projects risk adjustment factors, model impacts of potential payment changes. +… more
    Excellus BlueCross BlueShield (11/10/25)
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  • Actuarial Manager Analyst, Amazon One…

    Amazon (San Francisco, CA)
    …economics reporting and ad-hoc analysis relating to cost of care management - Medicare Risk score projections and premium estimation -Design and implement ... -Value based care contracting support and ongoing financial and risk analysis. -Support ongoing actuarial support for...(ASA) is required -Experience with Medicare or Medicare Advantage products -Strong knowledge of actuarial more
    Amazon (10/08/25)
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  • Actuarial Analyst- Growing Healthcare…

    Fallon Health (Worcester, MA)
    …of actuarial components of financial reports, regulatory submissions, and risk adjustment analyses + Collaborate with cross-functional teams including ... **Primary Job Responsibilities** + Assist in the development and maintenance of actuarial models for valuation, forecasting, pricing, and/or risk analysis +… more
    Fallon Health (10/22/25)
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  • Actuarial Consultant with Medicaid…

    Deloitte (Colorado Springs, CO)
    …care and fee-for-service, Medicaid policy, budget forecasting and fiscal analyses, and risk adjustment + Support business development efforts for Federal and ... Experience with Medicaid waivers (ie, 1115, 1915 b/c, 1332) + Experience with risk adjustment mechanisms + Experience with Provider reimbursement streams (ie,… more
    Deloitte (10/10/25)
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  • Manager, Risk Adjustment Operations…

    Point32Health (Canton, MA)
    …will oversee all provider engagement and reporting activities for risk adjustment programs and initiatives that impact Medicare , Medicaid, and Duals product ... Point32Health (https://www.point32health.org/) . **Job Summary** This position will lead the Risk Adjustment Operations & Provider Consulting team responsible… more
    Point32Health (10/24/25)
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  • Actuary - Value Based Contracting

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …vendor performance relative to established contracts. * Collaborate with actuarial , finance, Medicare and risk adjustment to ensure all inputs and ... Medicare Provider Relations team! You will apply broad actuarial principles and modeling technical skills to develop solutions...with actuarial , finance, data & analytics, stars, risk adjustment , and other lever owners to… more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Data Analyst II Medical Economics

    Centene Corporation (Tallahassee, FL)
    …with data mining, machine learning, artificial intelligence, or statistical modeling preferred ** Risk Adjustment :** Experience in risk adjustment , ... preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.Pay… more
    Centene Corporation (09/30/25)
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