Sr 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 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 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 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 SummaryJob 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...

Your RoleThe 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...

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 summary: We are seeking a Senior Engineer, Infrared, Optical and Opto-Mechanical Sensor Products for Mission Systems Payloads development in Huntington Beach, California RELOCATION and GENEROUS COMP/BONUS/BENEFITS PLAN for qualified applicants This position will be very much hands-on and will also have the opportunity to act as a lead on the team ---...

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 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...

As a member of the Actuarial Department, the Actuarial Analyst will be accountable for assisting the Actuary in putting together the reserving package, pricing, and providing actuarial support for other departments. The responsibilities will include but not be limited to reconciling actuarial data to accounting reports, detecting data anomalies or changes in...

As a member of the Actuarial Department, the Actuarial Analyst will be accountable for assisting the Actuary in putting together the reserving package, pricing, and providing actuarial support for other departments. The responsibilities will include but not be limited to reconciling actuarial data to accounting reports, detecting data anomalies or changes in...

As a member of the Actuarial Department, the Actuarial Analyst will be accountable for assisting the Actuary in putting together the reserving package, pricing, and providing actuarial support for other departments. The responsibilities will include but not be limited to reconciling actuarial data to accounting reports, detecting data anomalies or changes in...

Job Summary Responsible 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 adjustment is not...

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 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....

Sr. Data Analyst Actuarial Full-time Monday - Friday 8am - 5pm This position is Located In Daytona Beach FL POSITION SUMMARY: The goal of this position is to support FHCP's mission by delivering timely data, reporting, and analysis. This position is all about gathering data, cleaning data, and analyzing data to help others make higher quality decisions. This...

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...

Job DescriptionJob DescriptionJob Summary The Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special projects....

Job DescriptionJob Description Job SummaryThe Sr Analyst, Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs and develops Suspect, Targeting, and Tracking System to suport Molina's Prospective and Retrospective Interventions. Assist with research, development,and completion of special...

Job DescriptionJOB DESCRIPTIONJob SummaryJob 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...

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,...

Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire...

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...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

We are searching for a Financial Analyst, Sr for a 6-month contract assignment. The person in this role will be identifying and conduct complex analysis of financial impacts of issues and specific decisions facing the company & proposes strategies that maximize the company's financial performance. Looking for Sr Financial Analyst to help manage the ETRM...

Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It’s a big ask, but it’s one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire...

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...