Associate 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 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 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 complete IBNR estimates and rate adequacy studies. Document assumptions....

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...

Our client, a managed care company, is seeking a Business Analyst IILocation: Long Beach, CA/ RemotePosition Type: ContractJob Summary:Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs...

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/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...

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...

**Description** **Job Information** Staff Analyst/ Transit Management Analyst First date of posting: 2-29-2024 Last date of posting: Until Filled Authority: OA / TA / MTA Bus Department: Paratransit Eligibility & Compliance Reports To: Sr. Director Paratransit SVC Eligibility Appeals Work Location: 3300 Northern Blvd, Long Island City, NY 11101 Hours...

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 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 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 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 DescriptionREMOTE – Data Analyst Location; Remote, US JOB DESCRIPTIONOur client is looking for an experienced data analyst to join the Actuarial Data Delivery team. You will be responsible for capturing business requirements and analyzing large datasets to help drive data-driven decisions.Analyze complex data sets, understand business...

We would prefer candidates who are LOCAL to the Long Beach, C rea. A VIDEO interview will be required and the selected candidate will work in "hybrid" manner between the Long Beach office and Remote . We need a Disaster Recovery (DR) Analyst for a 6+ month contract in Long Beach, CA. This person will need to be onsite in Long Beach, CA three (3) days per...

We need a Disaster Recovery (DR) Analyst for a 6+ month contract for a public sector client in Long Beach, CA. This person will need to be onsite in Long Beach, CA three (3) days per week, so a LOCAL resource is needed. We would prefer candidates who are LOCAL to the Long Beach, CA area. A VIDEO interview will be required and the selected candidate will work...

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...

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 Description Job Summary The Analyst, Encounters is responsible for monitoring inbound and outbound encounters processes and ensuring timely, accurate, and complete encounter submissions for low - to moderate-complexity markets or states. Performs data analysis using internal and external sources, analyzes processes and provides recommendations for...

**JOB SUMMARY (Purpose of the Job & high-level summary)**: Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise-wide. It is a centralized corporate function supporting compliance activities at individual state health plans. Reporting to the Compliance Manager of CAP Oversight, the CAP Analyst is...

Job DescriptionJOB DESCRIPTIONJob Summary Molina Healthcare's Compliance team supports compliance operations for all Molina product lines enterprise wide. It is a centralized corporate function supporting compliance activities at individual state health plans. KNOWLEDGE/SKILLS/ABILITIES The Compliance Analyst position is primarily responsibility for...

This position is responsible for supporting structured transactions in the energy marketing group through monitoring and verification of trade deals. Employees in this role monitor and report on Value at Risk, daily activity, Profit and Loss, and pri Trading Analyst, Associate, Analyst, Retail