- CVS Health (Chicago, IL)
- …and targets for Specialty Value Based Contracts (VBC). The role will use Actuarial modeling to understand the value created and the amount of risk associated ... oversee a broad range of key business elements and lead high impact projects to analyze and improve our...internal and external. **What you will do** . Oversees actuarial analysis to assess and manage risks associated with… more
- Travelers Insurance Company (St. Paul, MN)
- …Range** $129,200.00 - $213,200.00 **Target Openings** 1 **What Is the Opportunity?** As a Director on the BI Actuarial Product - Liability team, you will take ... you do and where you do it. **Job Category** Actuarial , Data Analytics **Compensation Overview** The annual base salary...products, assumptions, and methodologies for the Flexible Rate Adequacy Network (FRAN) + Partner with BI Product and business… more
- Ascensus (Miami, FL)
- **Section 1: Position Summary** Responsible for regional strategy, results, actuarial consulting, and coordination of the business development and relationship ... Benefit practice. **_(We would considered candidates that qualify for a management/ director level opportunity.)_** **Section 2: Job Functions, Essential Duties and… more
- CVS Health (Boston, MA)
- …Machine Learning (ML), Large Language Models (LLMs), and Deep Neural Network architectures. The ideal candidate will possess exceptional optimization knowledge and ... a Ph.D. in Machine Learning. This role requires excellent client management abilities to lead a dynamic team of data scientists and analysts. The new leader will… more
- Highmark Health (Carson City, NV)
- …operational excellence, pricing optimization, vendor coordination, and assisting in the actuarial , financial planning and forecasting process. This role will lead ... that fall within this strategy, including retail and mail network optimization, rebate, formulary & UM financial optimization, and...pharmacy data analytics. The result of this work will lead to market competitive strategies to be used across… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …racial inequities in care. The Senior Contract Manager works closely with the Director of Network Contracting to successfully execute these innovative payment ... persuasively and effectively, both verbally and in writing. Major Responsibilities: + Lead negotiations for an assigned portfolio of contracts, which may include… more
- TEKsystems (Mckinney, TX)
- …a strategic advisor, identifying process gaps and implementing efficiency improvements Lead and mentor underwriters while fostering a positive and collaborative work ... high-level strategic leadership Ensure compliance with company policies and industry regulations Lead and mentor a large team of professionals in a high-performance… more
- Elevance Health (Phoenix, AZ)
- …Game Winning RFPs **Health Plan Operations** The preferred candidate would lead and participate in strategic market entry initiatives and external presentations ... service and Payment Innovation. Expect the candidate would have the requisite network experience. **Strategic Planning** Leader must be adept at the development of… more