• Actuary - Medicare Advantage

    CVS Health (Blue Bell, PA)
    …day. **Position Summary** We are seeking an Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. More specifically, ... a summer intern and/or other entry-level actuarial students + Familiarity with Medicare Part C and/or Group pricing **Education** + Bachelor's degree or higher… more
    CVS Health (06/01/25)
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  • Senior Actuary - Medicare

    CVS Health (Blue Bell, PA)
    …**Position Summary** We are seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. More specifically, ... a summer intern and/or other entry-level actuarial students + Familiarity with Medicare Part C and/or Group pricing **Education** + Bachelor's degree or higher… more
    CVS Health (05/16/25)
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  • Senior Actuary - Medicare Part D

    CVS Health (Blue Bell, PA)
    …provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work with ... government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD,...attention to detail Preferred Qualifications + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience… more
    CVS Health (05/16/25)
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  • Associate Actuary

    Humana (Harrisburg, PA)
    …MAAA + Strong communication skills + Knowledge of medical insurance (preferably Medicare Advantage ) **Work-At-Home Information** To ensure Home or Hybrid ... our caring community and help us put health first** The Associate Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to… more
    Humana (06/11/25)
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  • Actuary

    UPMC (Pittsburgh, PA)
    …recommendations to senior management; + Working with and applying knowledge in Medicare Advantage Risk Adjustment Modeling; + Utilizing programming languages, ... tools, and technologies including: SQL and/or SAS, and Excel including VBA. + Must hold ASA or FSA certification by Society of Actuaries + Must hold membership in the American Academy of Actuaries. Telecommuting permissible more
    UPMC (04/18/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Pittsburgh, PA)
    …to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs ( Medicare Advantage , ACA business, and Medicaid). Also work with Care ... for risk revenue management for all government program products (commercial ACA, Medicare , and Medicaid). Establishes the strategic direction for the Risk Revenue… more
    Highmark Health (04/30/25)
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  • Senior Market Finance Professional

    Humana (Harrisburg, PA)
    …Degree or Master's of Business Administration (MBA) + Value-Based Healthcare knowledge + Medicare Advantage Bid knowledge + Knowledge of Service Fund + Power ... the Intermountain Region. The Senior Market Finance Professional works with Actuary , MRA, Corporate Finance, Clinical and Market Point internally and… more
    Humana (06/06/25)
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