- Sutter Health (Emeryville, CA)
- …Monitors and reports on the performance of each business line, including Medicare Advantage and Preferred Provider Organization (PPO) health care plans. Participates ... as well as an advanced understanding of key government programs (( Medicare /Medicaid) and market segments (individual, small group, etc.). + In-depth knowledge… more
- UPMC (Pittsburgh, PA)
- **UPMC Health Plan has an exciting opportunity for an Actuary Lead on their rockstar Value - Based Contracting Team!** This position applies knowledge of ... Working experience in SQL and Excel + Experience following fields: value - based contracting, pricing, reserving, trend/health economics, provider network… more
- CVS Health (Overland Park, KS)
- …and risks, through key root-cause analyses, and manage the risk position of various value - based products ( Medicare Advantage, MSSP, ACO REACH).** **What will ... Accountable Care is seeking a highly motivated and experienced actuary to join our fast-growing organization. The actuary...Limited Data Set (5% Sample Data) Prior Experience in Value - based care settings Proficient in Excel, Work… more
- AON (Chicago, IL)
- …and federal and state regulations on company-sponsored health plans, including minimum value testing, affordability testing, and Medicare Part D testing. ... Job Title: Senior Consultant - Actuary Aon is in the business of better...and state regulations on company-sponsored health plans, including minimum value testing, affordability testing, and Medicare Part… more
- McLaren Health Care (Flint, MI)
- …Reported (IBNR) estimates, and assisting with Medicare , Exchange and Medicare Supplemental bid development. The Actuary conducts actuarial modeling/analysis ... We are looking for an Actuary to join us in leading our organization...McLaren Health Plan and MDwise, Inc., subsidiaries of MIG, value the talents and abilities of all our employees… more
- Deloitte (Fort Lauderdale, FL)
- …with product design and/or product strategy + Experience with reimbursement models including value based care/ACO modeling + Ability to program using SQL + ... performance and establish a culture focused on adding business value ? That is what the new generation of human...Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and… more
- Prime Therapeutics (Annapolis, MD)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Actuary - Remote **Job Description** The Senior Actuary is responsible for ... pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role will also provide actuarial...pay for this position ranges from $94,000.00 - $160,000.00 based on experience and skills. To review our Benefits,… more
- Somatus (Mclean, VA)
- …and shared savings forecasting models used in the corporate planning/reporting process. + Value based care contracting support and ongoing financial and risk ... Overview **More Lives, Better Lived(R)** As the largest and leading value - based kidney care company, Somatus is empowering patients across the country living… more
- Highmark Health (Annapolis, MD)
- …to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify ... models that support enterprise strategic initiatives that might fall outside of planned value - based reimbursement designs and/or to serve as a focus of… more
- Rush University Medical Center (Chicago, IL)
- …payers and Medicaid payers and negotiating managed care agreements both fee-for-service (FFS) and value based care (VBC) with these third party payers on behalf ... and reimbursement methodologies. *Knowledge base of population health management activities and value based care delivery models Strong written and verbal… more