- CVS Health (Chicago, IL)
- …Summary** We are seeking a Senior Actuary to join the Group Medicare Advantage Actuarial team to assist with Part C pricing. More specifically, this role ... a summer intern and/or other entry-level actuarial students + Familiarity with Medicare Part C and/or Group pricing **Education** + Bachelor's degree or higher… more
- CVS Health (Blue Bell, PA)
- …provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets. The colleague will work with ... government services pharmacy business. The primary focus is the Medicare Part D product strategy and pricing of MAPD,...attention to detail Preferred Qualifications + Previous Pharmacy or Medicare Part D experience + FSA designation + Experience… more
- Humana (Oklahoma City, OK)
- …data requests and perform valuations that help inform financial strategy related to the Medicare Advantage line of business. **Use your skills to make an ... organization focused on continuously improving consumer experiences **Preferred Qualifications** + Medicare Advantage experience + Finance background preferred +… more
- Somatus (Mclean, VA)
- …actuarial reporting. Responsibilities **Essential Duties and** **Responsibilities:** + Analysis of Medicare Advantage and Accountable Care Organization data. + ... KPIs indicate that results are not as expected. + Medicare Risk score projections and Premium estimation. + Design...a minimum of 5 years of experience in a senior leadership financial role at a publicly traded, muti-market… more
- UPMC (Pittsburgh, PA)
- …to senior management; + Working with and applying knowledge in Medicare Advantage Risk Adjustment Modeling; + Utilizing programming languages, tools, and ... technologies including: SQL and/or SAS, and Excel including VBA. + Must hold ASA or FSA certification by Society of Actuaries + Must hold membership in the American Academy of Actuaries. Telecommuting permissible more
- Highmark Health (Pittsburgh, PA)
- …to ensure comprehensive and accurate diagnosis coding for risk adjusted government programs ( Medicare Advantage , ACA business, and Medicaid). Also work with Care ... for risk revenue management for all government program products (commercial ACA, Medicare , and Medicaid). Establishes the strategic direction for the Risk Revenue… more