- Somatus (Mclean, VA)
- Overview **More Lives, Better Lived(R)** As the largest and leading value - based kidney care company, Somatus is empowering patients across the country living ... + Community engagement opportunities + And more! The Manager, Actuary role will require the ability to evaluate complex...risk. Advise the business on contract pricing in a value - based , risk bearing environment. Contribute to a… more
- Somatus (Mclean, VA)
- …lead both high-level financial strategy and detailed operational finance initiatives, including value - based contracting and pay-for-performance models. + **A ... Overview As the largest and leading value - based kidney care company, Somatus is...the company for a successful IPO. + **Collaborate** with Actuary and MedEcon to structure pricing and contract terms… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Actuary - Value Based Contracting Location: Hybrid | Eagan, Minnesota Career Area: ... Impact You Will Have We are looking for an Actuary for our Medicare Provider Relations team! You will...Accountable for modeling the structure and outcomes of various value - based contracting (VBC) arrangements and… more
- Elevance Health (Mason, OH)
- **Staff Vice President (VP) Pharmacy Actuary ** **Location** May be located in any Elevance Health PulsePoint office preferably in Indianapolis, IN, Atlanta, GA, ... CarelonRX segments. + Provide analytic support for formulary decisions + Calculate the value of Cost of Care including pulling data, building models, and developing… more
- Amazon (New York, NY)
- …planning -Support month end financial and accounting processes for relevant actuarial estimates. - Value based care contracting support and ongoing financial ... Economics, or Business -Experience working with risk-bearing provider groups -Experience in value - based care, including CMS initiatives such as the Medicare… more
- The Cigna Group (Bloomfield, CT)
- …Mercer) to shape external viewpoints on provider discounts, cost trends, and value - based initiatives. + **Lead Affordability Initiatives:** Serve as a subject ... medical cost and discount analysis, ensuring actuarial rigor behind clinical and value - based strategies. + **Create Market Narratives:** Collaborate with network… more
- CVS Health (Columbus, OH)
- …competitive analysis, engage contracting and clinical teams to create innovative value - based payment concepts. . Work with cross functional teams to create ... and external customers. **Required Qualifications** . 5+ years of experience in value - based care in contracting , provider relations, provider operations… more
- Highmark Health (Oklahoma City, OK)
- …years Healthcare, Healthcare Insurance, Consulting or related area + 3 years Value - based reimbursement, through managed care contracting , provider ... to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify… more
