- Humana (Columbus, OH)
- …team in identification of cost drivers, utilization patterns, and anomalies in Medicaid medical claims data. The Actuary , Analytics/Forecasting ensures data ... caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... organization's short, medium and long-term financial and competitive position. The Actuary , Analytics/Forecasting works on problems of diverse scope and complexity… more
- Humana (Columbus, OH)
- …part of our caring community and help us put health first** The Lead Actuary , Risk and Compliance is responsible for the overall management and oversight of ... and/or support staff where activities are concerned with identifying and managing risks. Identifies and analyzes potential risks and estimates the potential… more
- CVS Health (Columbus, OH)
- …guidance to the health plan and external partners for the state Managed Medicaid pharmacy benefit. The Pharmacy Director reports to the Senior Lead Pharmacy Director ... plan. + **Pharmacy Benefit Management:** The Pharmacy Director is responsible for managing the pharmacy benefit program offered by the health plan. This includes… more
- Elevance Health (Mason, OH)
- …granted as required by law._ The **Pharmacist Clinical** is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical ... requires close collaboration with cross-functional partners-including Clinical Pharmacy, Formulary, Actuary , Pricing/Underwriting, and other key business leaders. **How You… more