- Molina Healthcare (Des Moines, IA)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... risk scores, and analyze impact. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial staff to calculate risk adjustment payment estimates. Document… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …blue. Position Summary: The consultant in this role is a key member of the senior markets pricing team, within the Actuarial & Analytic Services department. This ... to all areas of BCBSMA, with a focus on senior product strategy and Medicare Markets. This...making strategic decisions. + May be responsible for leading actuarial projects relating to complex issues and trends. +… more
- Elevance Health (Mendota Heights, MN)
- ** Medicare Risk Adjustment Actuarial Analyst III** **On-Site Requirement: Hybrid 1;** **This role requires associates to be in-office 1 - 2 days per ... an accommodation is granted as required by law._ The ** Medicare Risk Adjustment Actuarial Analyst ...+ Comfortable with sharing complex ideas or findings with senior leaders. For candidates working in person or virtually… more
- Prime Therapeutics (Raleigh, NC)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior ... Analyst is responsible for providing complex actuarial and pricing analyses to Prime's existing and potential...Medicare and Medicaid). This role will also provide actuarial support in complex projects that are highly visible… more
- Tucson Electric Power (Tucson, AZ)
- …innovation skills. **_Lead Analyst Minimum Qualifications:_** . Minimum qualifications of Senior Analyst plus: . Minimum of 4 years of supervisory/leadership ... **Benefits Analyst - I, II, Senior or.... Gathers data and performs analysis in support of actuarial valuations, working with actuaries to ensure timely and… more
- Molina Healthcare (Roswell, NM)
- …trends in risk adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...for work around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of… more
- U-Haul (Phoenix, AZ)
- …Central Ave, Phoenix, Arizona 85036 United States of America he Regulatory Compliance Analyst supports the Compliance, Actuarial , and Finance teams in the ... role provides an opportunity to grow into a Regulatory Compliance Manager or Senior Compliance Analyst with additional experience and regulatory knowledge. Task… more
- Elevance Health (Indianapolis, IN)
- …+ Strong analytical, organizational, presentation, and problem solving skills preferred. + Medicare Part D experience is preferred. + Actuarial background is ... **Business Information Consultant - Pharmacy Analyst , Trend and Cost of Care** **Location:** This...to Pharmacy cost of care, pharmacy trends, and other Medicare book of business' related issues/metrics. **How you will… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding of the… more
- AmeriHealth Caritas (Newtown Square, PA)
- …more about us at www.amerihealthcaritas.com . **Job Summary** Reporting to the Senior Vice President, the Vice President, HEDIS / Stars Risk Adjustment Performance ... Quality Performance Reporting & Analytics and Risk Adjustment for Medicaid Quality, Medicare Stars, and Exchange QRS. This leader is accountable for driving strategy… more
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