- Centene Corporation (Cheyenne, WY)
- …financial analysis and forecasting, pricing and risk assessment to estimate outcomes. **In this Sr . Actuarial Analyst role, you will:** + Apply knowledge of ... fresh perspective on workplace flexibility. **Welcome!** We're seeking driven actuarial professionals who are on the path to earning...of finance and business to calculate financial outcomes around Medicare FFS claims and other expenses + Support … more
- Molina Healthcare (Las Cruces, NM)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... of any changes to the HCC model and supporting actuarial in the calculation risk adjustment revenue. + Assists...the Division. + Ability to work with and support Senior Management and to disseminate and summarize information into… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation ... rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation ... rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement changes, educate/consult… more
- AbbVie (Mettawa, IL)
- …channels of pharmaceutical businesses such as the Commercial Insurance channel, Medicare and Medicaid Channels. This role requires collaboration with stakeholders ... Qualifications + Bachelor's degree or foreign academic equivalent in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field of study,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more