- The Cigna Group (Austin, TX)
- …including, but not limited to: medical expense analyses and projections, financial forecasts, Medicare Part C bid development, regulatory (CMS) bid submissions, ... The position requires an experienced actuarial viewpoint with a proven ability to work...able to work independently with minimal supervision + Extensive Medicare knowledge, with specific acumen in Part … more
- Elevance Health (St. Louis, MO)
- …our Elevance Health PulsePoint locations. **Preferred Location: Indianapolis, IN.** The ** Actuarial Analyst III** will complete very diverse and complicated projects ... and performs very complex actuarial studies. **How you will make an impact:** +...studies. **How you will make an impact:** + Insources Medicare Advantage Risk Adjustment Analytics from vendors. + Analyzes… more
- Point32Health (Boston, MA)
- …. **Job Summary** This Senior Actuarial Analyst will support the Medicare Part C Pricing work. The key responsibilities for this role ... are pricing, rate filing ( Medicare Advantage Bid) development, strategic analysis, and other ad...will also work with various business partners outside of Actuarial to support their pricing requests. An understanding of… more
- Point32Health (Canton, MA)
- …at Point32Health, click here (https://youtu.be/S5I\_HgoecJQ) . **Job Summary** The Senior Manager of Product Implementation and Administration will have two main ... filings, new benefit implementation, and product/vendor management processes. The Senior Manager will support annual assessment of new product strategies by… more
- The Cigna Group (Denver, CO)
- …Claims FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and paid on a ... is expected to be the largest focus for the manager in the medium and long term. This individual...Given the close partnership between this team and the Actuarial Pricing and Reserving teams, an actuarial … more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Manager , Finance to join us in leading our...As an employee of MIG, you will be a part of a dynamic organization that considers all our ... Indiana-based health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana… more
- Elevance Health (New Hyde Park, NY)
- …**Preferred Qualifications:** + Experience in fee schedule development using actuarial models strongly preferred + Experience in contract language negotiations ... strongly preferred + Medicare , Medicaid and Commercial reimbursement methodologies knowledge strongly preferred...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible ... Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage… more
- Travelers Insurance Company (Independence, OH)
- …and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible ... Coordinate medical and indemnity position of the claim with a Medical Case Manager . Independently handles assigned claims of low to moderate complexity where Wage… more