Medicaid Actuarial Network Strategy Director
Jobleads-US
CVS Health is recruiting for a Lead Director, Actuarial - Medicaid who will steer network insights and curate support for Medicaid business lines. The role focuses on developing networks in new geographies and strengthening provider performance to achieve profitability and membership goals.
The candidate will guide state RFPs, balance data signals, and drive informed decisions in a highly matrixed environment while advocating diversity and inclusion across teams.
#J-18808-Ljbffr Jobleads-US$144.2k - $288.4k
...day. Aetna is recruiting for a Lead Director, Actuarial - Medicaid who will be responsible for understanding and driving action on Network Insights and curating support for this... ...delivering on our overarching Medicaid network strategy; it is inclusive of target network...ActuarialHourly payFull timeTemporary workWork at officeLocal area- ...CVS Health is seeking a Senior Actuary - Network to join the network analytics team, delivering financial tools and analytics to shape network strategy in alignment with market growth. The role involves cross-functional collaboration with network, MEU, and commercial...Actuarial
$129.3k - $177.8k
...our caring community The Actuary, Analytics/Forecasting analyzes... .... You will report to the Director, Actuarial Analytics/Forecasting... ...leaders to develop functional strategies (often segment specific) on... ...for people with Medicare and Medicaid, families, individuals, military...ActuarialFull timeTemporary workApprenticeshipWork experience placementWork at officeRemote workWork from homeHome office$77.65k
...Position Summary Actuarial Analyst to support actuarial functions by applying quantitative skills and analytical methods to well‑defined projects. Develop quantitative techniques to inform pricing and valuation for assigned projects, large group customers, and overall...ActuarialTemporary workLocal areaRemote work$129.3k - $177.8k
...Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and... ...significance, including segment-specific strategies, financial trends, medical claims... ...of the following insurance areas: o Medicaid o Medicare Advantage o Commercial...ActuarialFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...Title: Network Engineer (Permanent)- Job#5703 Location: Remote Job Description: Our client located in Rhode Island has an immediate opening for a Network Engineer to join their team. This role will provide operational support, process improvement, and...Permanent employmentImmediate startRemote workAfternoon shift
$40 per hour
...We are looking for an Actuarial Analyst to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model. In this role you will need to hold an expert level of mathematical...ActuarialHourly payFull timeContract workPart timeRemote work- ...It is an exciting time to join as we are experiencing tremendous growth and demand. Position Summary: Reporting to The Executive Director The Strategic Planning Manager is responsible for establishing and leading Mobile Beacon's organizational planning and execution discipline...
$34.62 - $36.54 per hour
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...in workload coordination. Other duties as assigned or requested. EDUCATION Required ~ Bachelor's degree in Mathematics, Actuarial Science, Finance, Business, Computer Science, Science, Technology, or other quantitative analysis discipline or relevant...ActuarialContract workFor contractorsWork at officeLocal area- Only W2 Onsite Position Travel: Some travel to their other hospitals within Rhode Island Local Candidates Required - In Person Interview Required Job Description: Strong hands-on knowledge of the configuration and management of large WAN/LAN infrastructure...Local area
$64.48k - $106.41k
...Maintains current knowledge of diagnostic, intervention and treatment strategies that are considered best practice for adults experiencing... ...and ensures payor sources for qualifying services, e.g., Medicaid, Title XX, etc. and ensures that authorization processes are in...Shift workDay shift- ...development in the agency by providing administrative and reflective supervision. Work under regular direction and supervision of the Director of Early Childhood Services in accordance with the agency’s mission, philosophy and program goals.QUALIFICATIONS:Bachelor ’s,...Full timeContract workRelocation packageFlexible hours
$109.3k - $180.2k
...support improvements to the execution of underwriting and product strategy. In doing so, you will influence and contribute to cross-... ...Underwriting and other functional groups (i.e., Product Management, Actuarial, Operations, Risk Control, Claim, etc.). Serve as a subject...ActuarialWork at officeLocal area$144.2k - $288.4k
...reinventing how consumers engage with their health. As the Lead Director of Software Engineering, you will lead the strategic vision,... ...and business goals - developing long‑term visions, technical strategies, and roadmaps that deliver value. Design thinking is at the center...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaRemote work- ...additional paid time to volunteer.**Why this job matters:**The Actuary will support a broad range of actuarial and financial functions... ...financial performance to support pricing, forecasting, product strategy, and pharmacy benefit management initiatives.**What you will do...ActuarialWork at officeRemote workWork from homeFlexible hours2 days per week1 day per week
- Financial Statement Services, Inc in Lincoln, Rhode Island, is looking for a Network Administrator I. This full-time, on-site role involves assisting with the configuration, monitoring, and administration of local and wide area networks, ensuring efficient technical support...Full timeLocal area
- ...information technology plans in accordance with the company’s overall strategy. The selected candidate must be able to analyze user... ...experience in cybersecurity and the practice of protecting systems, networks, programs, devices, and data from digital attacks or...Work at officeMonday to FridayFlexible hoursWeekend work
$108.5k
...an experienced and highly motivated Indirect Procurement - Strategic Programs Manager to join our growing team, reporting to the Director, Indirect Procurement. The ideal candidate will have deep experience in creating and managing strategic procurement programs and systems...Work at officeLocal areaWorldwide- OverviewThe Strategy & Transformation group at Waters Corporation supports the Executive... ...potential talent who build their skills and network prior to transitioning into leadership... ...in the business or other functions.As Director, Global Strategy you will collaborate with...Local areaWorldwide
$199.2k - $273.8k
...considered.Meet the TeamJoin Cisco’s Pricing Strategy and Monetization team—an essential part... ...solutions. Reporting to the Sr. Director of Pricing Strategy and Monetization, you... ...or business strategy, within Enterprise Networking, technology, cybersecurity, SaaS, or top...Full timeTemporary workLocal areaRemote workFlexible hours$109k
...model, this role ensures consistency and discipline across pricing, contracting, and commercial terms. You will operate as the deal strategy lead for complex negotiations; serving as the primary commercial counterpart to customer procurement organizations.This role leads...Contract workLocal areaWorldwide$73.6k - $110.4k
...performance metrics, and financial insights to business and finance stakeholders. Partner with Finance, Accounting, Budget and Actuarial teams to support financial analysis. Translate business and financial questions into analytical approaches and clearly communicate...ActuarialFull timeWork experience placementWork at officeRemote workWork from homeFlexible hours2 days per week1 day per week$46.99k - $112.2k
...leading or participating in project kickoff meetings to ensure flawless execution Develop expertise in customer lifecycle marketing strategies, campaign execution processes, and evolving system capabilities to recommend effective approaches that support business...Hourly payFull timeTemporary workWork at officeLocal areaRemote work2 days per week3 days per week- ...Role Veranex has an exciting opportunity to join our team as a Director of Program Management - Software. As a member of the Program... ...across multiple client engagements, establishes effective delivery strategies, monitors program health, and ensures successful execution...Contract workRemote work
- Job Description:Senior Systems AnalystNote: Fidelity will not provide immigration sponsorship for this position The RoleThis role offers the opportunity to join a SaaS/cloud-first, innovative, and fast-paced technology team within Fidelity Institutional Technology, supporting...Full time
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...Are you excited about working with cutting-edge network technologies? Do you enjoy acting quickly to solve problems? Join our Network Engineering team The Network Engineering team is a highly skilled group of individuals that work on various technologies in building...Work experience placementWork at office$88.9k - $160.1k
...Do you have a passion for network engineering technologies? Are you looking for the freedom to innovate and help shape the next generation of the network? Join our Network Engineering team! The Network Engineering team designs, automates, and supports the global...Work experience placementWork at office- ...Network Engineer We are seeking an experienced Network Engineer to support enterprise Datacenter, Campus, and Satellite Networks as part of a 24x7 operations team. The ideal candidate will have extensive experience with Cisco and Juniper networking technologies, Palo...
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