• Lead Director , Medicare…

    CVS Health (Boston, MA)
    …strategies, and supporting Medicare operations through advanced analytics and actuarial insights. Key Responsibilities: + Lead the development and execution ... We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The… more
    CVS Health (07/01/25)
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  • Director of Actuarial and Risk…

    Marshfield Clinic (Marshfield, WI)
    …together to support the most exciting missions in the world!** **Job Title:** Director of Actuarial and Risk Adjustment Services **Cost Center:** 682891378 SHP- ... (United States of America) **Job Description:** **JOB SUMMARY** The Director of Actuarial & Risk Adjustment Services...Risk Adjustment Services partners with the Chief Actuary to lead unit development and execution of strategy through tactics,… more
    Marshfield Clinic (06/29/25)
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  • Manager, Provider Engagement - VBP…

    Centene Corporation (Queens, NY)
    …(VBP) will lead and support the expansion and optimization of Medicare -focused VBP arrangements across New York. This role is critical in managing end-to-end ... position will be responsible for working with the VBP Director , other VBP Managers, and Analysts, as well as...as upside/downside risk, shared savings, and global capitation. + Lead a team of analysts responsible for Medicare… more
    Centene Corporation (07/09/25)
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  • Director , Actuary

    WelbeHealth (Los Angeles, CA)
    …vulnerable seniors with better quality and compassion in a value-based model. The Director , Actuary is accountable for all actuarial functions related to PACE ... underwriting, product development, and executive leadership to drive strategic initiatives + Lead full scale actuarial projects and project teams, as well… more
    WelbeHealth (07/19/25)
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  • Director , Internal Pharmacy Forecasting…

    Humana (Hartford, CT)
    …through deep knowledge of pharmacy trends, taking into account regulatory changes in the Medicare Part D space + Work with actuarial team to understand impact ... share, and abandonment rates + Work collaboratively with cross-functional teams, including marketing, actuarial , and finance + Develop and lead a team of both… more
    Humana (07/16/25)
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  • Director II Provider Economics…

    Elevance Health (Waukesha, WI)
    …promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director II, Provider Economics** , will lead strategic analytics and ... ** Director II Provider Economics - Value-Based Specialty Care**...support the design of new provider reimbursement methodologies across Medicare , Medicaid, and Commercial lines of business. * Measure… more
    Elevance Health (07/04/25)
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  • Pharmacy Strategy Director (Hybrid)

    CareFirst (Baltimore, MD)
    …day-to-day operations, performance, and oversight of pharmacy economics and PBM functions. The Director will lead and oversee ongoing day-to-day functions of the ... delivery. **ESSENTIAL FUNCTIONS:** Supply Chain and Contracts & Vendor Management: o Lead the operating model for pharmacy rebates and network discounts and PBM… more
    CareFirst (06/13/25)
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  • Director , Network Contracting

    Point32Health (Canton, MA)
    …physician groups, and integrated delivery systems across multiple markets and products. The Director will lead a team who negotiates contracts including risk ... we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Director of Contracting is responsible for contract strategy, development,… more
    Point32Health (07/19/25)
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  • Associate Director , Payer Contract…

    AbbVie (Mettawa, IL)
    …love for you to join us. The individual hired as the Associate Director , Payer Contract Analytics, within the Market Analytics and Business Insights (MABI) ... organization will lead the financial assessment of payer contracting via data...+ Support all channels of payer contracting including Commercial, Medicare Part D, Medicaid and other Government channels +… more
    AbbVie (06/19/25)
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  • Principal Actuary - REMOTE

    Prime Therapeutics (Providence, RI)
    …key stakeholders, senior management, and clients; answer detailed and challenging questions regarding actuarial data + Lead and mentor Actuarial team members ... The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime's existing and potential… more
    Prime Therapeutics (06/27/25)
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