Actuarial Director for Medicaid Pricing
11 hours ago
At Humana, we are committed to putting health first for our customers, teammates, and communities. We are seeking a highly skilled and experienced Director, Actuarial of Medicaid Pricing to join our team.
About the Role:The Director, Actuarial of Medicaid Pricing will provide actuarial support across a broad range of actuarial and business needs for specific product lines. This role requires an in-depth understanding of how organization capabilities interrelate across the function or segment.
Key Responsibilities:- Provide actuarial support for valuation, pricing, analytics, forecasting, risk, compliance, and operations.
- Develop and implement strategic plans to drive goals and objectives, and improve performance.
- Collaborate with industry peers and trade associations to influence the Medicaid capitation rate.
- Lead sizable staff and have demonstrated leadership capability.
- Experience in leading other human capital leaders and strong communication skills.
- 8 or more years of technical experience.
- 5 or more years of management experience.
- FSA or ASA plus relevant advanced degree, extensive work experience, and/or other relevant professional designations.
- MAAA.
- Experience in more than three functions (e.g., modeling, pricing, rate filing, reporting & analysis, reserving or trending) and more than one product.
- Master's degree preferred.
- Experience analyzing Medicaid capitation rate to identify rate adequacy issues.
- Experience negotiating Medicaid capitation rate with State Medicaid agencies.
- Experience collaborating with industry peers and trade associations to influence the Medicaid capitation rate.
- Demonstrated leadership capability, has led sizable staff before.
Humana offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
About Humana:Humana Inc. (NYSE: HUM) is committed to putting health first for our teammates, customers, and communities. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
-
Actuarial Director
1 week ago
Honolulu, Hawaii, United States Travelers Insurance Full timeJob Title: Director, ActuarialWe are seeking a highly skilled Director, Actuarial to join our Business Insurance Actuarial and Analytics team. As a key member of our team, you will be responsible for delivering tailored analytics and innovative data science solutions that influence decisions and enable superior results.About the Role:Assess, prioritize,...
-
Actuarial Services Leadership Position
10 hours ago
Honolulu, Hawaii, United States HMSA Full timeJob SummaryWe are seeking a highly skilled and experienced Actuarial Services Director to lead our team in overseeing the pricing of HMSA's products for all lines of business. The successful candidate will be responsible for developing and maintaining actuarial/financial models of HMSA's value-based contracting arrangements, analyzing and reporting on the...
-
Actuarial Director
12 hours ago
Honolulu, Hawaii, United States Travelers Insurance Full timeJob Opportunity:We are seeking a highly skilled Actuarial Director to join our Business Insurance Actuarial and Analytics team. As a key member of our team, you will be responsible for delivering tailored analytics and innovative data science solutions that influence decisions and enable superior results.Key Responsibilities:Assess, prioritize, influence,...
-
Dental Director Position
3 weeks ago
Honolulu, Hawaii, United States Hawaii Dental Service Full timeJob Title: Dental DirectorAt Hawaii Dental Service, we are seeking a highly skilled and experienced Dental Director to lead our team of dental professionals. As a key member of our leadership team, you will be responsible for providing clinical leadership and management of our interactions with the dental provider community, including Medicare and Medicaid...
-
Dental Director
1 day ago
Honolulu, Hawaii, United States Hawaii Dental Service Full timeJob Title: Dental DirectorAt Hawaii Dental Service, we are seeking a highly skilled and experienced Dental Director to lead our clinical dentistry team. As a key member of our leadership team, you will be responsible for providing vision, leadership, and management of our interactions with the dental provider community, including Medicare and Medicaid dental...
-
Purchasing Director
21 hours ago
Honolulu, Hawaii, United States Halekulani Hotel Full timePurchasing Director Job DescriptionHalekulani Hotel is seeking a highly skilled Purchasing Director to join our team. As a key member of our procurement team, you will be responsible for sourcing and purchasing goods and services to support our hotel operations.Key Responsibilities:Negotiate with vendors to secure the best possible prices, quality, and...
-
Director of Revenue Optimization
3 weeks ago
Honolulu, Hawaii, United States Marriott International Full timeJob Title: Director of Revenue ManagementMarriott International is seeking a highly skilled and experienced Director of Revenue Management to join our team. As a key member of our revenue management team, you will be responsible for developing and implementing revenue strategies to maximize revenue and profitability for our hotels.Key...
-
Director of Revenue Management
3 weeks ago
Honolulu, Hawaii, United States Marriott International Full timeJob SummaryAs a Director of Revenue Management at Marriott International, you will be responsible for overseeing revenue management activities and managers within your area of purview. Your primary goal will be to balance the financial objectives of different lodging products to maximize total revenues and profit associated with guest rooms.Key...
-
Banquet Operations Director
1 month ago
Honolulu, Hawaii, United States Four Seasons Hotels and Resorts Full timeAbout Four SeasonsFour Seasons is a luxury hospitality company that prides itself on delivering exceptional guest experiences. Our team members around the world are passionate about creating unforgettable moments for our guests, residents, and partners. We believe that a world-class employee experience and company culture are essential to enabling our people...
-
Director of Deli Operations
3 weeks ago
Honolulu, Hawaii, United States Foodland Full timeDirector of Deli Job DescriptionFoodland Super Market Ltd. is a locally owned and operated company with a rich history of serving the community in Hawai`i for over 75+ years. Our commitment to delivering exceptional food and shopping experiences is unwavering, and we are seeking a dedicated and organized individual to lead our deli department as Director of...
-
Business Development Director
4 weeks ago
Honolulu, Hawaii, United States Cardinal Health Full timeJob Title: Director, Business DevelopmentAt Cardinal Health, we are seeking a highly skilled Director, Business Development to join our team. As a key member of our organization, you will be responsible for driving complex sales of Navista memberships to new physician practice customers.Key Responsibilities:Develop and execute strategic plans to acquire new...
-
Senior Business Analyst
5 days ago
Honolulu, Hawaii, United States HMSA Full timeBusiness Solutions Development:As a Senior Business Analyst at HMSA, you will be responsible for developing, maintaining, and coordinating department user requirements, data reporting, and application requirements for projects that affect Medicaid Programs. You will assist with solution design and development, participate in and lead teams involved in...
-
Senior Business Analyst
3 weeks ago
Honolulu, Hawaii, United States HMSA Full timeBusiness Solutions Development:As a Senior Business Analyst at HMSA, you will be responsible for developing and maintaining department user requirements, data reporting, and application requirements for projects that affect Medicaid Programs. You will assist with solution design and development, participate in and lead teams involved in projects that affect...
-
Business Development Director
3 weeks ago
Honolulu, Hawaii, United States Cardinal Health Full timeJob Title: Director, Business DevelopmentAt Cardinal Health, we are seeking a highly skilled Director, Business Development to join our team. As a key member of our organization, you will be responsible for driving complex sales of Navista memberships to new physician practice customers.Key Responsibilities:Develop and execute strategic plans to acquire new...
-
Director Business Development
3 weeks ago
Honolulu, Hawaii, United States SNC Full timeJob Title: Director Business DevelopmentAs a Director Business Development at SNC, you will play a critical role in defining and analyzing new business development opportunities, developing and executing capture/growth strategies, and influencing stakeholders and customers on win strategies. You will drive all capture and BD lifecycle opportunities and...
-
Director, Federal Engagement Management
2 weeks ago
Honolulu, Hawaii, United States Oracle Full timeAbout the RoleWe're seeking a seasoned leader to join our Oracle Health Federal Consulting team as a Director, Federal Engagement Management. In this critical role, you'll be responsible for leading the overall strategy and delivery of our federal consulting business, driving client satisfaction, and overseeing a team of over 40 associates.Key...
-
**Director, Federal Engagement Management**
1 month ago
Honolulu, Hawaii, United States Oracle Full timeAbout the RoleWe're on a journey to advance how healthcare happens with technologies that empower patients, support clinicians, inspire innovation, and save lives. Our mission is to create a human-centric healthcare experience powered by unified global data.As a world leader in cloud solutions, Oracle is committed to tackling today's problems with tomorrow's...
-
Director of Camp Advancement
2 weeks ago
Honolulu, Hawaii, United States GIRL SCOUTS OF HAWAI I Full timeAbout the RoleThe Director of Camp Advancement is a key position at Girl Scouts of Hawai'i, responsible for creating and overseeing a revenue-generating facility rental strategic plan for three Girl Scout camp facilities located on O'ahu, Maui, and Hawai'i Island.Key ResponsibilitiesDevelop and implement revenue-generating models for the utilization of our...
-
Business Development Director
2 weeks ago
Honolulu, Hawaii, United States Sierra Nevada Corporation Full timeJob SummaryWe are seeking a highly skilled Director Business Development to join our team at Sierra Nevada Corporation. As a key member of our organization, you will be responsible for defining and analyzing critical new business development opportunities, developing and executing capture/growth strategies, and influencing stakeholders and customers on win...
-
Director Business Development Lead
3 weeks ago
Honolulu, Hawaii, United States Sierra Nevada Corporation Full timeJob SummaryWe are seeking a highly skilled Director Business Development to join our team at Sierra Nevada Corporation. As a key member of our organization, you will be responsible for defining and analyzing critical new business development opportunities, developing and executing capture/growth strategies, and influencing stakeholders and customers on win...