- Molina Healthcare (Jacksonville, FL)
- …is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. ... + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership + Generate… more
- CVS Health (Tallahassee, FL)
- …* Minimum 2 SOA actuarial exams passed. * 1+ years of actuarial experience in a healthcare setting. * Experience working with standard Microsoft ... Medicaid states. Within this role, you will: * Provide actuarial support for the Aetna Medicaid Behaviorial Health Centers...and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to… more
- Molina Healthcare (Tampa, FL)
- …of these processes. This is a non-traditional role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. ... responsible for assisting in establishing premium rates and conducting financial analysis and reporting. A key responsibility of this...related to medical care costs. + Design and perform actuarial studies related to medical care costs and trends.… more
- Molina Healthcare (Jacksonville, FL)
- …**Job Summary** Responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from ... signs of trends or other issues related to medical care costs. + Perform actuarial studies related to medical care costs and trends. + Generate and distribute… more
- Molina Healthcare (Jacksonville, FL)
- …healthcare systems that deliver better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ... equivalent experience **Required Experience** * 5+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare … more
- Molina Healthcare (Tampa, FL)
- …healthcare systems that deliver better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ... equivalent experience **Required Experience** + 5+ years of analytics experience in financial analysis, healthcare pricing, network management, healthcare … more
- Elevance Health (FL)
- ** Senior Healthcare Economics Analyst** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... This position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst** (Advanced Analytics Analyst Senior )… more
- ChenMed (Miami, FL)
- …need great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively tracking the ... Works with different departments within ChenMed to provide analytics supported by actuarial modeling. In alignment with our Finance vision, this position will… more
- Prime Therapeutics (Tallahassee, FL)
- …Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Present results and ... owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage... work experience to include 6 years in a healthcare organization or PBM + Actuarial designation… more
- Molina Healthcare (Orlando, FL)
- …**Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and recommendations ... relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects or programs. Duties include gathering,… more