a fresh perspective on workplace flexibility. Position Purpose: This Senior Actuary will serve as the primary Risk... Adjustment contact for 5 to 6 Medicaid markets. In this Senior Actuary role, you will: Be accountable for ensuring timely...
and support to new and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan... that advance business outcomes and achieve strategic objectives relative to new and existing Risk Adjustment Programs. Supports...
financial reporting, data analysis, and risk adjustment; Interpreting and applying regulatory requirements and standards... historical trends and suggest opportunities to implement savings initiatives; Writing medical cost and risk adjustment...
reporting, data analysis, and risk adjustment; Helping companies define and evaluate corporate and business unit strategies... and suggest opportunities to implement savings initiatives; Writing medical cost and risk adjustment analytics using SAS to help...
Position: Senior Health Actuary - Medicaid Location: Remote Salary: $230,000-275,000 Total Compensation Actuarial... Summary: We are seeking a Senior Medicaid Consulting Actuary to lead and support complex Medicaid projects, including rate...
financial reporting, data analysis, and risk adjustment; Interpreting and applying regulatory requirements and standards... to implement savings initiatives; Writing medical cost and risk adjustment analytics using SAS to help clients identify sources...
positioning, and historical experience. Monitor and project risk adjustment transfer payments. Partner with Product and Network.... Software Proficiencies: Excel, SQL Excel, MS SQL Server Other: Knowledge of risk adjustment methodologies Experience...
of management experience. Software Proficiencies: Excel, SQL Excel, MS SQL Server Other: Knowledge of risk adjustment... for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the...
bid. Maintains and updates the risk adjustment models used for developing risk adjustment accruals, reconciling risk... results. As the Manager, Actuary for Medicare Advantage (MA), you will play a pivotal role in leading the actuarial aspects...
- including value-based care/ACO modeling Risk adjustment mechanisms Familiarity with group insurance products including.../5/25. Work you'll do As a Deloitte Consulting Health Actuary Manager in the Insurance practice of Deloitte's Human...
and senior management to develop actuarially sound loss and loss adjustment expense reserve recommendations. Analyze impact... Membership in the American Academy of Actuaries (MAAA) Duties Description Description: The Chief Actuary of Workers...
closely with Risk Adjustment and other areas. Advise and develop direct reports accountable for at least one line of business... of the affiliates. Responsibilities: Work closely with Senior Product Management and Finance to analyze financial...
with SCOR's Life Risk Modeling team to understand and explain the impacts to Risk Adjustment, Risk Margin, Own Funds..., including verbal, written and relationship building with ability to present insights to senior leadership. Demonstrated...
Summary We are seeking a Senior Actuarial Analyst - VBC Actuary for a crucial role within our growing healthcare provider..., and Risk Scoring. Responsibilities include supporting the development and management of VBC Contracts, Risk Adjustment...
with CMS risk adjustment methodologies and payment. Preferred Qualificatons Master's degree in a relevant subject (MHA, MBA... for our Medicare Advantage line of businesses. The Director of Revenue Management will work with company stakeholders (Actuary, Impact...
Title: Consulting Actuary - Health / Predictive Modeling (REMOTE) Location: Remote Salary: $120,000-$160,000 + Bonus... Actuarial Summary: A rapidly growing actuarial consulting firm is looking to add at least two senior health actuaries to meet...