coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Medical Mutual...-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans...
oversight for Medicare Advantage and Dual Eligible Special Needs Plans (D-SNPs). The Manager will serve as a subject matter... as a strategic advisor on contract structure and payment methodologies for Medicare Advantage and D-SNP providers, supporting new...
across Medicare Advantage and ACA populations. Key areas of emphasis include HCC model analytics, forecasting of RAF scores, and the...Job Summary: This role will focus on advancing actuarial insights that improve risk adjustment performance...
and performance of Medicare-focused VBP arrangements across New York, including Medicare Advantage and Dual Eligible Special Needs... negotiations, governance discussions, and strategic planning led by the Medicare VBP Manager. Advance efforts in health-related...
Job Category: Actuarial Job Description: Senior Manager Actuarial Analytics *Remote* Candidates residing... the best people, we must empower them. The Senior Manager Actuarial Analytics is responsible for producing pricing...
Overview: Now hiring a Manager-Financial Reporting Presbyterian Healthcare Services is hiring a Manager-Financial... serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health...
Overview Now hiring a Manager-Financial Reporting Presbyterian Healthcare Services is hiring a Manager-Financial... serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health...
statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Inclusion and Diversity...Overview: Now hiring a Medical Economic Manager Remote: Open to remote applicants in the United States...
statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans. Inclusion and Diversity...Overview Now hiring a Medical Economic Manager Remote: Open to remote applicants in the United States...
, healthcare technology, or services. Strong knowledge of the payer landscape and healthcare ecosystem, including Medicare...-driven decision-making on important healthcare questions. Through our products, education, and services, MedInsight is making...
annual work in support of the CMS Medicare Bid, partnering with Actuarial services and National Medicare Finance to assure... across Medicare Advantage, ACA, and Medicaid programs. This position will oversee the build out of a robust forecasting process...