Actuarial Analyst

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with the KY Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting. This is...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESCollaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintains the risk adjustment model, identifies risks, and estimates risk scores and financial impact. Opportunity to contribute to national risk adjustment studies. Prior experience in Medicaid risk...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyzes data for cost savings opportunities and performance improvement initiatives. Researches healthcare utilization and claims experience to identify areas of growth. Collaborates with Finance and corporate actuarial teams on IBNR calculations, capitation rate review, rate advocacy, and forecasting....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to perform IBNR estimates and rate adequacy studies. Document assumptions....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIESSupport the development of the IBNR estimates and rate adequacy studies. Document assumptions. Analyze results...

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis, and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Collaborate with Actuarial staff to complete IBNR estimates and rate adequacy studies. Document assumptions....

Job DescriptionJOB DESCRIPTIONJob SummaryResponsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks.KNOWLEDGE/SKILLS/ABILITIES Support the development of the IBNR estimates and rate adequacy studies. Document assumptions. Analyze results...

Pacific Life is investing in bright, agile and diverse talent to contribute to our mission of innovating our business and creating a superior customer experience. We’re actively seeking a talented Actuary & Director to join our Ceded Reinsurance in Newport Beach, CA or Omaha, NE. This fulltime role can be onsite or hybrid. As an Actuary & Director,...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Job DescriptionJOB DESCRIPTIONJob SummaryDesigns and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and...

Job DescriptionJOB DESCRIPTIONJob SummaryPerforms research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...

**Your Role** The Blue Shield of California Finance team is responsible for providing Line of Business consolidation, reporting, and analysis support for the Growth Finance team. The Financial Analyst, Consultant will report to the Markets Planning and Analysis Finance Manager. In this role, you will work closely and collaborate with other stakeholders...

Job DescriptionJOB DESCRIPTIONJob SummaryAnalyst, Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access to quality care with improved outcomes through better coordination and...

REMOTE - Sr. Project Manager, LDTI Location; Remote, US JOB DESCRIPTION The Senior Project Manager manages projects / programs with varying degrees of complexity by assembling project teams, developing project schedules, project plans and all supporting documents to ensure the project / program is delivered within scope, schedule, cost, and...

REMOTE Sr. Project Manager, LDTI Location; Remote, US JOB DESCRIPTION The Senior Project Manager manages projects / programs with varying degrees of complexity by assembling project teams, developing project schedules, project plans and all supporting documents to ensure the project / program is delivered within scope, schedule, cost, and specifications...

Job DescriptionJob DescriptionSr. Project Manager, LDTI Location; Remote, US JOB DESCRIPTIONThe Senior Project Manager manages projects / programs with varying degrees of complexity by assembling project teams, developing project schedules, project plans and all supporting documents to ensure the project / program is delivered within scope, schedule, cost,...