Actuarial Analyst, Senior

Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

Your Work In this role, you will: Be responsible for analytic work required to convert pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Build and update models that allow the actuarial team to quantify financial gaps and opportunities at a provider...

Your Work In this role, you will: Be responsible for converting pricing and financial goals at the line of business and region level into specific action plans at the provider level that the Network team can execute Create value for the Growth team General Managers by ensuring they have a voice when it comes to key network decisions and network...

Your Role The Cost of Healthcare Trendsetters & Pharmacy Support team analyzes and provides emerging healthcare cost trend drivers. The Medical Informatics Analyst IV will report to the Actuarial Manager. Your Work In this role, you will: Conduct independent analysis of high complexity under minimal supervision and guidance Develop analytical...

Your Role The Data & Analytics (D&A) team focuses enterprise-wide to partner with business stakeholders to apply the power of data & analytics to deliver new insights and data-driven solutions to accelerate business outcomes. The Medical Informatics Analyst, Principal will report to the Senior Manager, Medical Informatics (Value Based and Medical Care...

Your Role The ACA Chart Program team conducts the following functions (1) identify medical records with unreported diagnosis codes, (2) retrieve those medical charts, (3) perform medical coding to convert them into risk adjustable diagnosis codes, and (4) submit to CMS via the EDGE pathway. The Risk Adjustment, Consultant will report to the Senior Manager....

Requisition ID # 153294 Job Category: Maintenance / Construction / Operations; Business Operations / Strategy; Compliance / Risk / Quality Assurance; Project / Program Management Job Level: Individual ContributorBusiness Unit: Electric OperationsWork Type: HybridJob Location: Oakland Department OverviewThe Coworkers of Electric Transmission and Substation...

Your Role The Behavioral Health Utilization Management team performs prospective utilization review for our members and correctly applies the guidelines for nationally recognized levels of care. They collaborate directly with the Member, Member's Family, and Interdisciplinary Care Team to achieve consensus and promote positive Member health outcomes...

Your Role   The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

Your Role   The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

Your Role   The Actuarial Pricing Shared Services team is responsible for collaborating with different Finance and Actuarial teams to support enterprise financial tracking and forecasting and drive the pricing target setting and planning to meet Company’s operating and growth goals. The Senior Actuarial Analyst will report to the Senior Manager of the...

Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role   The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on reserve levels . The Actuarial Analyst, Experienced will report to the Senior Manager of Reserving. In this role you will collaborate with partners in Accounting,...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Experienced Actuarial Analyst will report to the Senior...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

About the Team The Risk & Insurance team at DoorDash is responsible for all things corporate insurance at the company. We are a rapidly growing and exciting function that helps DoorDash manage risk and safety with a close lens on the company's bottom line. We are looking for forward thinkers that are excited to help build out this team and match our...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

Your Role   The Actuarial Provider Strategies team helps design and implement value-based care (VBC) payment models, which include Accountable Care Organizations (ACOs) and other innovative alternative payment models (APMs) to improve the affordability and quality of care our members receive. The Associate Actuarial Analyst will report to the Principal of...

**Job Summary**: This individual contributor is primarily responsible for researching and determining the likelihood of financial risk to the organization, aligning actuarial documentation with financial reports and tax returns, developing and designing product line evaluations and actuarial models, and assessing, analyzing, and interpreting financial risk...

Description: Job Summary:This individual contributor is primarily responsible for assisting in researching and determining the likelihood of financial risk to the organization, supporting actuarial documentation, product line evaluation, and actuarial modeling, and assisting in financial risk and opportunity analyses.Essential Responsibilities:Pursues...