• Actuary - Network Performance

    CVS Health (Blue Bell, PA)
    …all with heart, each and every day. **Position Summary** This position within the Network Performance and Execution organization provides the financial tools ... Accountable Care Organizations (ACOs), and other Value Based Contracts (VBCs). ** Network Actuary key responsibilities include** : **Providing guidance on… more
    CVS Health (04/20/25)
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  • Vice President, Corporate Network Policy…

    AmeriHealth Caritas (Newtown Square, PA)
    …including, but not limited to, Business Development, Contracting, Provider Performance , Pricing, Actuary , Communications, Training, Human Resources, Government ... at www.amerihealthcaritas.com. **About this job:** The Vice President of Corporate Network Policy and Planning is responsible for developing, managing, and executing… more
    AmeriHealth Caritas (05/02/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Harrisburg, PA)
    …Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary , Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL ... hiring and termination decisions, coaching and development, rewards and recognition, performance management and staff productivity. Plan, organize, staff, direct and… more
    Highmark Health (03/04/25)
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  • Market Director - (SEPA Market)

    Highmark Health (Blue Bell, PA)
    …system community. The incumbent is responsible for engaging entities on performance -related activities such as Value-Based Reimbursement (VBR), Stars and Risk ... increasing quality, lowering cost, and increasing patient satisfaction. Work with actuary and informatics teams to develop population health tools/reports, care… more
    Highmark Health (03/13/25)
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