- MVP Health Care (Schenectady, NY)
- Actuarial , Network Contract Analytics Headquarters Office, 625 State Street, Schenectady, New York, United States of America Req #2527 Monday, April 7, ... thinking and continuous improvement. To achieve this, we're looking for an ** Actuarial , Network Contract Analytics ** to join **\#TeamMVP** . This… more
- Walgreens (Deerfield, IL)
- **Job Description:** **Job Summary:** As the Data Analytics Manager within the internal audit organization, you will oversee the planning, organization, and ... execution of data analytics for internal audits, encompassing financial, operational, compliance and...most complex models and tools used to compare executed contract terms and conditions to parameters included in internal… more
- CVS Health (Chicago, IL)
- …Network Performance and Execution organization provides the financial tools and analytics to support network strategy in alignment with market/business growth ... of market dynamics and build strong cross-functional relationships with business partners ( network , MEU, commercial actuarial , etc.). Other traditional areas of… more
- AmeriHealth Caritas (Newtown Square, PA)
- …payment term changes, and general configuration.; **Responsibilities:** + Collaborates with Actuarial , Network , and Operational areas to develop lenses that ... designed to routinely assess and support existing and new provider network management processes, programs, contract performance, and proposed initiatives,… more
- Aegon Asset Management (Baltimore, MD)
- …a related technical field + Programming experience in Python, R, or similar analytics environments + Experience integrating actuarial and investment models to ... the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research… more
- Dignity Health (Bakersfield, CA)
- …monitors financial performance maintains risk profiles assists in the development of actuarial projections and monitors risk contract profitability. As requested ... Risk Analytics & Economics Population Health and Clinically Integrated Network /ACO Operations areas to advance the alignment and accountability model in order… more
- Aegon Asset Management (Baltimore, MD)
- …the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research ... and perform ad hoc analyses + Run projections using actuarial platforms such as ALFA or GGY AXIS +...development of database solutions for ALM processes, general account analytics , and user interfaces + Contribute to model validation,… more
- VNS Health (Manhattan, NY)
- …interventions to improve quality while optimizing costs. + Partners closely with analytics and finance teams ( Actuarial , Health Economics, Business Intelligence ... with internal and external partners (eg, Utilization Management, Care Management, Actuarial , Health Economics, IT, Claims, Risk Adjustment, and Provider Network… more
- Highmark Health (Helena, MT)
- …to drive adoption and close gaps. Critical partners include Advanced Analytics , Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, ... 4 years Research and strategic planning around emerging trends in reimbursement, network , and payment model design. Demonstrate of the application of healthcare… more
- CVS Health (Blue Bell, PA)
- …every day. **Requisition Job Description** As a member of the Value Based Analytics team, you would be responsible for supporting complex capitation analyses that ... goals for Medicaid, Medicare and IFP, and working collaboratively with the Network to determine the financial impact resulting from changes in provider contracts… more