• Actuary ; Risk Adjustment…

    Humana (Salt Lake City, UT)
    …issues, often advising executives on functional strategies and working with minimal supervision. This Actuary role sits within the MRA Finance team and plays a ... caring community and help us put health first** The Actuary , Analytics/Forecasting analyzes and forecasts financial, economic, and other...critical part in forecasting risk scores and revenue for the Medicare Advantage Part… more
    Humana (09/06/25)
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  • Sr Actuary

    Centene Corporation (Queens, NY)
    …(shared savings/ risk , capitation, bundles), including baseline setting, risk adjustment , performance metrics, and reconciliation logic. ... on workplace flexibility. **Join Our Team!** We're looking for a motivated and skilled actuary to join us in a **hybrid role based in Long Island City, NY.**… more
    Centene Corporation (08/23/25)
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  • Actuary - Value Based Contracting

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …opportunities. * Works closely with actuarial, finance , data & analytics, stars, risk adjustment , and other lever owners to gather necessary data for ... Blue Cross and Blue Shield of Minnesota Position Title: Actuary - Value Based Contracting Location: Hybrid | Eagan,...performance relative to established contracts. * Collaborate with actuarial, finance , Medicare and risk adjustment … more
    Blue Cross and Blue Shield of Minnesota (09/10/25)
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  • Actuary

    Zurich NA (Schaumburg, IL)
    …recommendations for quarterly financial results including IFRS 17 components of discount and risk adjustment . + Assist in the preparation of materials for ... Actuary 121816 Zurich North America is currently looking...IFRS 17 elements. + Collaborate regularly with Underwriting, Claims, Finance , and Pricing to develop insights on trends and… more
    Zurich NA (09/10/25)
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  • VP Risk Adjustment Accuracy…

    Highmark Health (Blue Bell, PA)
    …Development and Management: + Provide strategic leadership and management for the Risk Adjustment Accuracy Management Department. + Develop and oversee programs ... oversee and adapt infrastructure (processes, systems, talent) to support an effective risk adjustment program as CMS/HHS/DPW evolves the models and guidance.… more
    Highmark Health (07/30/25)
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  • Risk Adjustment Analyst

    Fallon Health (Worcester, MA)
    …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Risk Adjustment Analyst (RAA) will be a SME for the MassHealth ... risk adjustment model(s) and related data submission...The RAA will also work with the Government Programs Actuary , product line management, Medical Economics and Care Services… more
    Fallon Health (09/06/25)
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