• Manager, Actuary

    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 (06/25/25)
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  • Deputy Actuary

    Somatus (Mclean, VA)
    …and shared savings forecasting models used in the corporate planning/reporting process. + Value based care contracting support and ongoing financial and ... Overview **More Lives, Better Lived(R)** As the largest and leading value - based kidney care company, Somatus is empowering patients across the country living… more
    Somatus (06/12/25)
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  • Actuary - St. Luke's Health Partners

    St. Luke's Health System (Boise, ID)
    …health outcomes of the population and lowering the cost of care through value - based care strategies. We foster a collaborative and innovative work environment ... data-driven decision-making, and a healthy work-life balance. The Health Partner's Actuary is a crucial strategic partner in advancing the organization's financial… more
    St. Luke's Health System (05/10/25)
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  • VP, Valued Based Contracting…

    Molina Healthcare (TX)
    …to develop and implement consistent governance and processes around all aspects of Value Based Contracting . The scope includes negotiation, valuation, ... for value - based contracts. **Job Duties** + Define and implement a Value Based Contracting governance process for the organization. + Assess internal… more
    Molina Healthcare (07/19/25)
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  • Payer Contracting Manager

    Rush University Medical Center (Chicago, IL)
    … care (VBC) risk contracts with third party payers as assigned by the Director, Value Based Payer Contracting . + Negotiate, analyze and model current, ... Health pricing standards. + Under the direction of Director, Value Based Payer Contracting , assist...financial risk terms working in conjunction with Analytics and actuary , when needed, to develop financial risk models to… more
    Rush University Medical Center (05/19/25)
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  • Value Management Analyst - Fortify

    University of Virginia (Charlottesville, VA)
    …The Value Management Analyst - Fortify is responsible for analyzing value - based contracts to identify opportunities for improving cost efficiency and quality ... in process improvement methodologies to drive data-driven decision-making and optimize value - based care outcomes. Co-founded by Children's Hospital of The… more
    University of Virginia (07/24/25)
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  • Director Provider Solutions-New Jersey

    Elevance Health (Woodbridge, NJ)
    …and Experiences:** + Strongly preferred MBA degree. + Proven Network provider and contracting experience including Value - Based Care, Fee-for-Service and unit ... integrating quality metrics and unique (non-traditional) incentives into the overarching contracting process, shepherding a market transition from "fee- based "… more
    Elevance Health (07/24/25)
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  • Regional Vice President (VP) Provider Solutions

    Elevance Health (Nashville, TN)
    …(listening) skills needed. + Proven strategic provider partnership experience. + Value - Based contracting expertise and performance management experience. ... will offer expert insight to the development/execution of payment innovation programs ( value - based care) and a proven track record of relationship… more
    Elevance Health (07/17/25)
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  • Corporate Director Network Strategy

    AmeriHealth Caritas (Newtown Square, PA)
    …enterprise network strategy function, with a focus on optimizing total network value The Corporate Director, Network Strategy is tasked with developing and ... implementing provider network strategies based on advanced market research, intelligence and analytics to drive strategic network decisions and new programs +… more
    AmeriHealth Caritas (07/23/25)
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  • Senior Vice President, Finance

    Somatus (Mclean, VA)
    …stakeholders. + Possess strong analytical, research, and organizational skills + Understanding of Value - Based Contracting / Pay for Performance / Healthcare ... Overview As the largest and leading value - based kidney care company, Somatus is...successful IPO (~4 year goal) + In partnership with Actuary / MedEcon, lead pricing and contract term development… more
    Somatus (06/18/25)
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