• Lead Director , Medicare…

    CVS Health (Madison, WI)
    …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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  • Director , Internal Pharmacy Forecasting…

    Humana (Madison, WI)
    …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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  • Principal Actuary - REMOTE

    Prime Therapeutics (Madison, WI)
    …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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  • Manager, Risk Adjustment Analytics

    Datavant (Madison, WI)
    …and external stakeholders. The manager will collaborate with other managers and the department director to set strategy and mobilize the team to be as performant as ... team. **What you will do** : + Set and lead the day-to-day work of their direct reports with...their direct reports with guidance and collaboration from the director and other department managers + Develop core relationships… more
    Datavant (06/12/25)
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