- WTW (New York, NY)
- **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
- WTW (New York, NY)
- **Description** As a Healthcare Financial / Actuarial Director, you will be a key member of the Financial , Actuarial and Analytics (FAA) Community of ... Expertise. You will lead financial and actuarial engagements for a portfolio of clients and play a strategic role on complex accounts, delivering insights… more
- WTW (New York, NY)
- **Description** As a Healthcare Financial / Actuarial Senior Associate you will be a key member of the Financial Actuarial & Analytics (FAA) Community ... quality standards are met. You will have the opportunity to position yourself to lead financial project with small-to-midsized clients, and work on cutting edge… more
- Molina Healthcare (NY)
- …scores. + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to leadership ... sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment… more
- Elevance Health (Latham, NY)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is responsible for...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
- Molina Healthcare (Syracuse, NY)
- …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
- Humana (Albany, NY)
- …claims utilizing revenue codes, CPT/HCPCS, ICD-10 diagnosis codes, DRG, etc. Partner with actuarial , financial , and clinical teams to align on data definitions, ... variable factors and determining the best course of action. Analyzes and forecasts financial , economic, and other data to provide accurate and timely information for… more
- Mount Sinai Health System (New York, NY)
- …IDX, Soarian, etc. + Experience working in a health plan or consulting actuarial , financial reporting or medical economics departments highly valuable. + ... demonstrates sound and a more advanced understanding of the healthcare domain, technical data manipulation and analytic development skills...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
- Mount Sinai Health System (New York, NY)
- …a strong plus. + Experience working in a health plan or consulting actuarial , financial reporting or medical economics departments highly valuable. + Experience ... demonstrates sound and a more advanced understanding of the healthcare domain, technical data manipulation and analytic development skills...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
- CVS Health (Albany, NY)
- …case level strategy including: + Support and execute prospecting initiatives / lead generation + Conduct consultant meetings / briefings + Qualify RFP opportunities ... consultant debriefs, network analysis, and identification of pathway to winning + Execute financial strategy with ability to present on UW approval calls + Finalist… more
Recent Jobs
-
Enterprise Account Director, Sales Solutions
- LinkedIn (New York, NY)
-
Research Coordinator - Heart Vascular Research - Days
- WellSpan Health (York, PA)
-
Professor of Practice - Child Life and Family Science
- Utica University (Utica, NY)
-
Inventory Counter Leader
- Royal Farms (Salisbury, MD)