• Actuary - Network Performance

    CVS Health (Chicago, IL)
    …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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  • Deputy Actuary

    Somatus (Mclean, VA)
    …opportunities + And more! **About the Role** The Deputy Actuary provides management and leadership actuarial reporting. Responsibilities **Essential Duties ... for Total Medical Expense (TME) estimation. + Lead continuous evaluation of TME performance compared to plan expectations. + Coordinate with the finance team on… more
    Somatus (03/13/25)
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  • Director Reimbursement Design & Market Evaluation

    Highmark Health (Helena, MT)
    …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 - (DE Market)

    Highmark Health (Wilmington, DE)
    …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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