- WTW (Southfield, MI)
- **Description** As a Healthcare Financial / Actuarial Analyst you will support a wide variety of projects involving the design, funding, and measurement ... deliverables across a regional team. + Develop working proficiency of core financial , actuarial and analytics theories, models and tools. + Support accurate and… more
- Prime Therapeutics (Lansing, MI)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... Analyst is responsible for providing complex actuarial and pricing analyses to Prime's existing and potential...the organization. **Responsibilities** + Own, build, support, and maintain financial and complex actuarial models + Lead,… more
- Molina Healthcare (Sterling Heights, MI)
- …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
- Humana (Lansing, MI)
- …and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Pricing establishes market level financial metrics to align with ... caring community and help us put health first** The Actuarial Analyst 2, Pricing is responsible for...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Molina Healthcare (Grand Rapids, MI)
- …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 (Ann Arbor, MI)
- …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 (MI)
- …as needed, including training materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and ... and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Molina Healthcare (Warren, MI)
- …Analysis and forecasting of trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support...financial cost, revenue, and vendor data. Collaborates with actuarial and operational staff to analyze, understand, modify, and… more
- Molina Healthcare (Warren, MI)
- …costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial /Accounting Analyst I experience ... years of increasingly complex experience in quantifying, measuring, and analyzing financial /performance management metrics + Demonstrate Healthcare experience in… more
- Centene Corporation (Lansing, MI)
- …**Education/Experience:** Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare ... data verification, and data management or 3+ years IT experience. Healthcare analytics experience preferred. Experience with table creation and indexing, query… more