• Director , Actuarial Services

    BlueCross BlueShield of North Carolina (NC)
    **Job Description** Join our team as Director , Actuarial Services - Medicare Pricing and lead our Medicare pricing function for all Blue Cross NC ... - $278,041.00 **Skills** Actuarial Analysis, Actuarial Management, Actuarial Science, Actuarial Services , Budgeting, Business Valuations, Client… more
    BlueCross BlueShield of North Carolina (11/07/25)
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  • Director Risk Adjustment and Quality…

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director Risk Adjustment and Quality Analytics - Actuarial Location: Hybrid ... Impact You Will Have We are looking for a Director of Risk Adjustment and Quality Analytics to lead...Responsibilities * Performs risk score computation and forecasting for Medicare , ACA, and Medicaid. * Oversees diagnostic coding gap… more
    Blue Cross and Blue Shield of Minnesota (11/01/25)
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  • Executive Director , Chief Actuary

    Banner Health (Phoenix, AZ)
    …accredited school; admission to a State Bar Association. Requires experience in health actuarial services typically achieved with ten or more years of ... **Primary City/State:** Phoenix, Arizona **Department Name:** Actuarial -BHN Cntr **Work Shift:** Day **Job Category:** General...direct the preparation of rate filings to Centers for Medicare and Medicaid Services (CMS), Health and… more
    Banner Health (08/23/25)
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  • Director & Actuary- Valuation

    Health Care Service Corporation (Nashville, TN)
    …financial reporting functions. HSB is a profitably growing division selling Medicare Supplement and other Supplemental Health and Life products. Current annual ... Serve as Appointed Actuary for HSB Legal Entities, coordinating all annual actuarial statement deliverables. * Establish monthly balances for claim and policy… more
    Health Care Service Corporation (10/24/25)
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  • Director of Value Performance Quality

    Blue Cross and Blue Shield of Minnesota (Eagan, MN)
    …alignment with regulatory requirements, financial objectives, and organizational strategy. The Director oversees programs such as Medicare Stars, HEDIS, ... protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Director of Value Performance Quality Location: Hybrid | Eagan, Minnesota Career… more
    Blue Cross and Blue Shield of Minnesota (11/10/25)
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  • Senior Director , Healthcare Analytics

    Centene Corporation (Queens, NY)
    …a fresh perspective on workplace flexibility. **Position Purpose:** The Senior Director , Healthcare Analytics leads analytic service delivery by aligning ... and business partners and partners across functional areas to deliver best-in-class analytic services . The director will serve as the finance business partner… more
    Centene Corporation (11/07/25)
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  • Director , Network Contracting

    Point32Health (NH)
    …perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities ... we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at… more
    Point32Health (11/06/25)
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  • Account Director (Group Retiree Solutions)

    CVS Health (Phoenix, AZ)
    …collaboration with primary internal partners such as underwriting, analytics and EGWP actuarial services . - Executing client renewals by building relationships ... and every day. **Position Summary** : As an Account Director , you will serve as the senior level liaison...such as PBM or health plan account management, account services , implementation, Medicare , and/or related sales. *… more
    CVS Health (11/11/25)
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  • Manager, Risk Adjustment Operations and Provider…

    Point32Health (Canton, MA)
    …perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities ... we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at… more
    Point32Health (10/24/25)
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  • Principal Engineer, Standards and Design

    MetroLink (Los Angeles, CA)
    …series SUPERVISION EXERCISED AND RECEIVED + Receives general oversight from the director or executive-level roles + May have responsibility for supervising and ... as an exhaustive list of responsibilities. + Manage Consultant Design Support Services Contract. + Review and assure compliance with Railroad design requirements for… more
    MetroLink (10/16/25)
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