- Molina Healthcare (Mesa, AZ)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** This position will support the Medicaid Actuarial team. Responsibilities will include supporting local market functions ... \#AetnaActuarial **Required Qualifications** - Have attempted or passed at least one actuarial exam - Experience in Microsoft Excel and PowerPoint - Have strengths… more
- Humana (Bismarck, ND)
- **Become a part of our caring community and help us put health first** This Actuarial Analyst 2 position is a part of the HealthCare Economics team focused on ... with our stakeholders and providing valuable input to the business. The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic,… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Actuarial Analyst 1 provides actuarial support across a broad range of ... and business needs for specific product lines. The Actuarial Analyst 1, General work assignments are...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Fallon Health (Worcester, MA)
- …be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid , and PACE (Program of All-Inclusive Care for the Elderly)- in ... **Brief Summary of Purpose:** Seeking a motivated and detail-oriented analyst to join our team. This position is ideal...ideal for candidates who have passed at least two actuarial exams and are eager to apply their analytical… more
- Elevance Health (Indianapolis, IN)
- **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement:** **Hybrid 1;** **This role requires associates to be in-office 1 - 2 days ... is granted as required by law._ The **Risk Adjustment Actuarial Analyst II - Advanced Analytics** is...studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You… more
- Humana (Jefferson City, MO)
- …part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other ... the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Chief Health Actuary** **Job Class: Director Actuarial and Regional Policy Analyst ** **Agency: Commerce Department** + **Job ID** : 90317 + ... **Hiring Agency/Seniority Unit** : Commerce Dept / Commerce-Managerial + **Division/Unit** : INS Actuarial & Data Science + **Work Shift/Work Hours** : Day Shift +… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicaid Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and ... coordination of analytical processes, investigation and interpretation of Maryland Medicaid risk score methodology, risk score calculation, submissions, enrollment,… more
- Humana (Louisville, KY)
- …caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical ... effectiveness within the Medicaid segment. This function integrates Medical Economics, Clinical Insights,...accreditations). The leader may be a data scientist, financial analyst , economist, or other analytical professional; though experience in… more