Consulting Actuary: ACA Risk Adjustment Strategy
Blue Cross and Blue Shield of North Carolina
Blue Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across business segments, evaluate advanced care management models, and design and price sophisticated insurance products. The role requires strong leadership, cross-functional communication, and the ability to oversee external vendors, regulators, and providers. Candidates should have 7+ years of actuarial experience (ASA/FSA) and ongoing CE to maintain credentials. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
$143.62k - $229.79k
...Job Description As a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services... .... Responsibilities include leading pricing strategies and actuarial initiatives for business segments, evaluating...Risk- CVS Health in the United States is expanding its Medicare strategy and insights team to support provider enablement. This role will act as a subject matter expert on Medicare Risk Adjustment, tracking activities and performance at provider group and sponsor levels. You...Risk
$148.2k - $292.3k
...healthcare ecosystem. As an Actuarial Manager, you will... ...and align talent strategies with their strategic visions... ...and technical consulting services to help clients... ...modeling, underwriting, and risk analysis methodologies... ...experience with risk adjustment mechanisms, group...RiskLocal areaVisa sponsorship$180.2k - $355.1k
...practice is adding an Actuarial Senior Manager to our... ...strategic and technical consulting services to help... ...and value-based care strategies, including analysis of... ...modeling, underwriting, and risk analysis methodologies... ...experience with risk adjustment mechanisms, group insurance...RiskLocal areaVisa sponsorship- ...Specialty in Nashville, TN is seeking a Catastrophe Risk Analyst to assess and manage exposure to natural... ...strategic recommendations to enhance risk management strategies. You will collaborate with underwriters, actuaries, and other stakeholders to evaluate risk exposure,...Risk
- RT Specialty, LLC is seeking a Catastrophe Risk Analyst in Nashville to assess and manage exposure to natural... ...recommendations to enhance risk management strategies. You will collaborate with underwriters, actuaries, and other stakeholders, develop risk scenarios, and...Risk
- ...solely dedicated to property risk management and the resilience... ...business. The position combines actuarial modeling, exposure analysis,... ...portfolio management, underwriting strategy, and business planning... ...Progress toward CAS credential (ACAS/FCAS) or equivalent actuarial...RiskFlexible hours
$114.5k - $160k
...charter programs with tracking, reporting, risk management, and milestone governance... ...Quality Framework, AI Enablement, CSAT Strategy, Training Framework, Capacity Management... ...disability and need a workplace accommodation or adjustment during the application and hiring...RiskFull timeTemporary workSeasonal workFlexible hoursDay shift- Pillsbury Winthrop Shaw Pittman LLP is seeking a Director of Information Governance to lead the firm’s governance strategy and programs across risk, privacy, and cybersecurity. The role partners with leadership and multiple teams to establish classification, retention,...Risk
$128k - $252.5k
.... Work you'll do As a Senior Consultant on the Insurance Solutions team... ...-gap assessments to support strategy, operations, and technology-... ...Underwriter (CPCU) or Associate in Risk Management (ARM)... ...range estimate has not been adjusted for the applicable geographic...Risk$190.2k - $372k
...Summary Our Deloitte Strategy & Transactions team helps guide... ..., quality management, and risk management across client workContributing... ...Bachelor's degree8+ years of consulting or industry experience,... ...range estimate has not been adjusted for the applicable geographic...RiskLocal areaVisa sponsorship- Caterpillar Inc. in Nashville, TN, is seeking a treasury professional to formulate and implement interest rate risk management and debt placement strategies aligned with the corporate business plan. You will analyze financing alternatives, support liquidity management,...Risk
$74.56k - $85.08k
...26 JOB ANNOUNCEMENT Position: Housing Risk & Insurance Analyst Salary : $74,557 -... ..., and advancing housing risk mitigation strategies across the agency’s affordable housing portfolio... ...communication with carriers, brokers, adjusters, TPAs, contractors, and legal counsel....RiskFor contractors$89.83k - $170.21k
...Actuarial Analyst III Location: This role requires associates to be in-office 1-2 days... ...make an impact: Analyzes and implements risk contracts including conducting experience... ...culture that is designed to advance our strategy but will also lead to personal and professional...RiskTemporary workTraineeshipWork experience placementWork at officeLocal area2 days per week1 day per week- ...Entry Level Workers' Compensation Claims Adjuster Johnston & Associates is a family‑owned safety and risk management consulting company located in Thompsons Station, TN. We have been in business for over 35 years and continued to grow. We offer excellent benefits, including...RiskFull timeLocal areaFlexible hours
- ...energy procurement, seeks an AVP Energy Strategic Sourcing to drive strategy, pricing, and supplier relations for natural gas, electricity... ...The role blends client and supplier engagement with a focus on risk management and savings. You will lead a team, collaborate with executives...Risk
- Mercor is partnering with a leading AI research lab to build risk adjustment capabilities across Medicare Advantage, Medicaid, and ACA markets. We seek experienced Risk Adjustment and HCC Coding leaders to guide AI tool evaluation and ensure documentation capture and coding...Risk
- Mercor is partnering with a leading AI research lab to advance risk adjustment processes for Medicare Advantage, Medicaid managed care, and ACA markets. We seek experienced leaders to drive HCC coding, risk score accuracy, and documentation capture across programs. You...Risk
- Senior Actuarial Analyst Job Summary The Senior Actuarial Analyst will play a pivotal role in ArchWell Health’s growth and within the... ...financial performance. Department Duties/Responsibilities Risk Adjustment and Revenue Performance: Develop and maintain models to forecast...RiskShift work
- ...Security, Risk and Compliance ConsultantNashville, Tennessee,... ...ers keenly understand how to adjust their support and problem solving... ..., Risk and Compliance consultants work with clients at all levels... ...Compliance or Information Security Strategies/Programs/ControlsDesign and...RiskPermanent employment
- ...complex market. We’re looking for a Senior Strategy Analyst who can turn complex data into... ...) Communicate project scope, progress, risks, and outcomes with clarity and precision... ...experience in data analysis, strategy, or consulting Strong analytical skills with experience...RiskFlexible hours
- ...company expertise. Our Crop Division has been helping farmers manage risk since 1915 and is one of the few private companies authorized by... ...part‑time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, You Will Understand and work claims for all major crops,...RiskFull timePart timeSeasonal work
$100.4k - $197.9k
...challenging workforce issues and align talent strategies with their strategic visions. Our... ...on 10/1/2026. Work you'll do As an Actuarial Consultant on the Insights, Innovation & Operate... ...disclosed range estimate has not been adjusted for the applicable geographic differential...Local areaVisa sponsorship$86.7k - $170.9k
...leverage your experience in strategy, process design, technology enablement... ...0/30/2026.Work You’ll DoAs a Consultant, Strategy, Growth, and... ...strategy effortsActive High Risk Public Trust, or Top Secret,... ...range estimate has not been adjusted for the applicable geographic...RiskLocal area$110k - $130k
...subsidiary of AllianceBernstein L.P. (AB), provides advanced planning strategies and a wide array of investment management services to high-net-... ...expertise across asset classes and geographiesWe are seeking a Risk Officer who will work within the Bernstein Private Wealth Risk...RiskFull timeTemporary workWork experience placement$163.4k - $322.1k
...and formulate consumer-driven strategies to engineer a digitally... ...Strategy Manager is a client-facing consulting leader responsible for... ...overseeing scope, timelines, risks, and dependencies across workstreamsUsing... ...range estimate has not been adjusted for the applicable geographic...RiskLocal areaFlexible hours$100.4k - $197.9k
...Deloitte’s Human Capital practice as an Actuarial Consultant and help clients address complex... ...challenging workforce issues and align talent strategies with their strategic visions. Our... ...disclosed range estimate has not been adjusted for the applicable geographic differential...Work at officeLocal areaVisa sponsorship$128k - $252.5k
...across the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial, strategic,... ...workforce issues and align talent strategies with their strategic visions. Our practice... ...range estimate has not been adjusted for the applicable geographic differential...Work at officeLocal areaVisa sponsorship$193.3k - $272.4k
...Summary Pricing and Sales Strategy Manager, Strategy, Growth,... ...as a leader in Deloitte Consulting’s Customer Strategy & Applied... ...weekly steering reports, assess risks, manage delays and escalate... ...range estimate has not been adjusted for the applicable geographic...RiskLocal area$163.4k - $322.1k
...Position Summary The Experience Design Strategy Manager is a client-facing consulting leader who delivers experience... ...and overseeing scope, timelines, risks, and dependencies across design workstreamsSupporting... ...range estimate has not been adjusted for the applicable geographic...RiskLocal areaFlexible hours
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