- WTW (Dallas, TX)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) ... by working across different client profiles and roles, including leading clients' financial / actuarial engagements for a portfolio of small clients or managing… more
- Molina Healthcare (Fort Worth, TX)
- …Summary** The role is responsible for establishing premium rates and conducting financial analysis and reporting. A key responsibility of this role is supporting ... complexity with limited direct supervision **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies.… more
- WTW (Dallas, TX)
- **Description** As a Healthcare Financial / Actuarial Lead Associate you will contribute to a wide variety of complex analyses and projects involving the ... Service teams to deliver superior project management + Communicates complex financial / actuarial /analytic results to effectively drive client action + Build… more
- Molina Healthcare (Fort Worth, TX)
- …for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Molina Healthcare (Fort Worth, TX)
- …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
- Molina Healthcare (Fort Worth, TX)
- …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 (Fort Worth, TX)
- …provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience desired + Multiple ... increasingly complex experience in quantifying, measuring, analyzing, and reporting financial /performance management metrics + Demonstrate Healthcare experience… more
- Molina Healthcare (Fort Worth, TX)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- The Cigna Group (Plano, TX)
- …data (CPT/ICD10) + Experience with HHS ACA (or Medicare) risk adjustment models; Healthcare Actuarial Modeling or financial modeling background preferred + ... Individual & Family Plans (IFP) is a fast-paced Cigna Healthcare business unit serving the Affordable Care Act (ACA)...better health outcomes for patients but also enable Cigna Healthcare to remain compliant and competitive in the dynamic… more
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