- CVS Health (Frankfort, KY)
- …execution for our large group commercial rating engine (ERNIE) . As a Sr. Actuarial Analyst the ideal candidate will project manage and support system ... and more compassionate. And we do it all with heart, each and every day. This position is with the Actuarial Rating Systems Support team and focuses on operational… more
- CVS Health (Frankfort, KY)
- …for Medicare Specialty Value Based Care (VBC) Contracts. The role will use Actuarial modeling to understand the value created and the amount of risk associated ... of leadership both internal and external. + Applies sound actuarial judgement, draws conclusions from their analysis and develops...process change. **Required Qualifications** + Passed at least 2 actuarial exams + 2-5 years of actuarial … more
- Molina Healthcare (Louisville, KY)
- JOB DESCRIPTION Job Summary Provides analyst support for actuarial function activities including extracting, analyzing, and synthesizing data from various ... supports financial analysis and reporting. **Essential Job Duties** * Collaborates with actuarial team to complete incurred but not reported (IBNR) estimates and… more
- Molina Healthcare (Louisville, KY)
- …signs of trends or other issues related to medical care costs. * Performs actuarial studies related to medical care costs and trends. * Generates and distributes ... decision-making. * Supports the development of reports and analysis for senior leadership, and effectively communicates results. **Required Qualifications** * Up to… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * Coordinates and… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates and… more
- Elevance Health (Louisville, KY)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This...an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Actuarial sciences background highly preferred. + Utilization Management experience… more
- Humana (Louisville, KY)
- …and NCQA accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in Medicaid or ... scorecards and financial metrics to optimize segment outcomes. + Collaborate with actuarial , finance, and clinical teams to interpret data and inform executive… more
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