Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk Adjustment... of applicable state and federal guidance. The Risk Adjustment Program is critical as it ensures that the health conditions of the...
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...
Job Description: Your Role The Senior Director, Risk Adjustment and Medicare STARs role will lead the Medicare Risk...) auditing processes and management of applicable state and federal guidance. The Risk Adjustment Program is critical as it...
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...
- 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...