- The Cigna Group (Bloomfield, CT)
- …is designed to provide a designated full time support to Express-Script's external client's Medicare Part D business. This role will matrix with internal ... and supply teams. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs,… more
- CVS Health (Hartford, CT)
- …and Aetna's exciting and growing government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD, SNP ... PDP Products. This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure… more
- WelbeHealth (Los Angeles, CA)
- …financial modeling tools + Deep understanding of CMS risk adjustment, Medicaid rate-setting, and Medicare Advantage/ Part D payment models + Must be willing ... seniors with better quality and compassion in a value-based model. The Director, Actuary is accountable for all actuarial functions related to PACE revenue, claims… more
- Martin's Point Health Care (Portland, ME)
- …incurred but not reported claims (IBNR). + Prepare and analyze monthly estimates for Medicare Part D settlement estimates. + Develop and maintain knowledge ... and support to the company, including responsibility for the actuarial support of Medicare product bids, US Family Health Plan (USFHP) rate negotiations with the… more