Actuary: CMS Bid & Risk Modeling Specialist
Curana Health
Curana Health is seeking a senior actuary to broaden impact beyond the numbers. You’ll lead CMS bid development, risk-adjustment modeling, and Part D pricing tasks while collaborating with finance, clinical, and leadership teams across a national platform. Ideal candidates bring 5+ years of actuarial experience in healthcare, ASA certification, and strong skills in Excel, SAS, R, Python, and SQL. This role offers growth, visibility, and critical contributions to senior care delivery nationwide. #J-18808-Ljbffr Curana Health
$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... ...for business segments, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing...CmsRisk- Reinsurance Pricing Actuary (PR12708) in the United States is seeking a P&C Assistant Actuary with 3+ years of Commercial lines experience to support pricing, modeling, and rate indications for Excess & Surplus business. Ideal candidate is near-ACAS with strong analytical...Cms
$118.7k - $207.8k
...working closely with underwriters, Alternative Risk Solutions professionals and primarily the... .... You will have exposure to both UW and Actuarial leadership teams through quarterly... ...deals that fall out of scope of the pricing model Provide training and guidance to...CmsRiskFlexible hours$108k - $132k
...healthcare that people deserve. The Actuarial team at Clover is made up of... ...Analyst, You Will Maintain internal CMS HCC and RxHCC models for calculating member level risk scores. Support the monthly... ...of risk scores for forecast and bidding purposes. Provide actuarial support...CmsRiskWork experience placementWork at officeRemote workFlexible hours- AIG seeks an Associate Actuary to support the Actuarial Independent Review Team with quantitative analysis and model assessments. This role requires strong analytical skills and... ...pricing models, and building quantitative risk models. Candidates must have a relevant undergraduate...Risk
$150k - $200k
EPIC Insurance Brokers & Consultants is seeking a Property Actuary to develop pricing models for property insurance. Situated in New York, NY, the role requires hands-on data modeling and collaboration with a team of actuaries. Candidates should have at least 2 years of...Risk$120k - $130k
...References to KKR’s investments may include the activities of its sponsored funds and insurance subsidiaries. The Actuarial Associate, Insurance Risk Modelling is instrumental in developing insurance liability models used in pricing, valuation, hedging and ALM....RiskLocal area- ...reinsurance and insurance team that has a track record of solid risk management and delivering long‑term results. Position Overview This position provides support to the CEO and the Chief Actuary, including model‑building/coding and review, transaction and deal structuring...RiskFull timeWork experience placementWork at officeFlexible hours
- Description and Requirements This actuarial role will own and develop pricing models for RIS. The RIS business, one of the largest U.S. segments in MetLife, covers a wide variety of products including pension risk transfer, GIC/Funding agreements, stable value, structured...RiskTemporary workWork at officeLocal area3 days per week
- A reputed consulting firm based in New York is seeking a qualified actuarial professional to develop financial models and analyze risks. Candidates should have a Bachelor's degree in Quantitative Science, Actuarial Science, or Mathematics, and relevant certifications such...Risk
$150k - $300k
Job Summary: Vice President, Actuarial - Product is responsible for driving... ...aspects of rate filing and bid development, including filing... ...of actions and potential risks Provide strategic decision making... ...state or federal regulators, CMS or other external regulatory or...CmsRiskWork at office- We’re seeking a future team member for the role of Specialist II, Program & Project Management (Model Risk Validation) to join our Model Risk Validation team. This role is located in New York City. In this role, you’ll make an impact in the following ways: Contribute to...RiskWorldwideFlexible hours
$24.12 per hour
...its beneficiaries enrolled in Risk Adjusted government programs such... ...and Medicaid Services (CMS) coding guidelines, and Risk Adjustment... ...MA, ESRD, and ACA HCC Models; works independently in various... ...Coder (CRC) Certified Coding Specialist (CCS) Registered Health Information...CmsRiskFor contractorsWork at officeLocal areaRemote workFlexible hours- ...exclusive features. Position Title: Senior Actuary - Medicare Strategy Location: Remote... ...collaboration with product, finance, and risk adjustment teams to ensure financial... ...projections to regulatory bodies such as CMS and state health departments. Partner with...CmsRiskFull timeWork at officeRemote work
$150k - $170k
...escalation frameworks. Asset Liability Management- managing risks arising from mismatches between assets and liabilities. - It... ...management of compliance with liquidity metrics - Liquidity Stress Modeling - develop and enhance internal stress testing framework and...RiskFull timeRelocation package$81.07k - $129.71k
...Description Blue Cross NC is seeking an Actuarial Analyst to support rating and... ...rate filings and actuarial models. Builds model enhancements and... ...regulatory agencies (NCDOI, CMS). Retrieves and validates data... ...to support Enterprise Risk Management. Provides analytic...CmsRiskWork at officeLocal areaRemote workFlexible hours2 days per week- Posted 3 days agoP&C Predictive Modeling Actuary in CT, IL, NY, OH, or TX. Play key role in actuarial predictive modeling across multiple Commercial lines (Workers Compensation, General Liability, Property, and Auto) by partnering with Underwriting, Data Science, and Actuarial...
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- Independence American Insurance Company (IAIC) is hiring an Actuarial Analyst to analyze and evaluate financial risks. This hybrid role involves completing actuarial analyses and maintaining models for financial forecasting. The ideal candidate holds a Bachelor’s Degree...Risk
$140k - $155k
...Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. Overview The Actuarial Associate, Insurance Risk Modeling plays a critical role in shaping the firm’s understanding of insurance liabilities and risk exposures. This...RiskWorldwide- KKR in New York is seeking an Actuarial Associate on the GA Risk modelling team to own liability models end to end and influence pricing and risk decisions. You’ll develop models directly in our risk platform, run stresses under GAAP, Stat, Econ, Bermuda, and help onboard...Risk
- Guidehouse is seeking a Clinical Documentation Specialist to perform comprehensive chart reviews... ...reflecting the severity of illness and risk of mortality. The role requires... ...clinicians, and quality teams to maintain CMS compliance and high documentation quality...CmsRiskRemote job
- ...develop improvements and alternatives. Coordinate the actuarial staff as needed to support the activities of the... ...with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health). Work closely with Risk Adjustment and other areas to optimize risk adjustment...CmsRiskWork experience placement
$150k - $200k
Psychiatric Consultant (Collaborative Care Model - CoCM) 2 days ago - Be among the first 25... ...are delivered remotely in compliance with CMS CoCM guidelines. Responsibilities... ...strategies appropriate for SNF/LTC settings Risk and safety considerations Collaborate with...CmsRiskFull timeRemote work$80k - $100k
...Under close supervision, codes, parameterizes, and utilizes actuarial models to solve problems which may include: pricing, reserving/reserve... ...deliver actuarial and financial models that effectively evaluate risk. • Project Management - Intermediate Can effectively lead...RiskWork experience placementWork from homeFlexible hours- ForzaCare, part of Ethos Risk Services, seeks a full-time Medical Set-Aside & Medical Cost Projection Specialist to coordinate MSP compliance, including MSAs and cost projections... ...covers intake through completion, ensuring CMS alignment and serves as a key resource for...CmsRiskRemote jobFull time
$140k - $155k
Actuarial Associate, Insurance Liability Modeling Actuarial Associate, Insurance Liability Modeling 2 days ago Be among the first 25 applicants Software Guidance... ...Develop insurance liability models within the firm's risk modeling platform. Communicate findings to risk...RiskFull timeSummer workInternshipSummer internshipRemote work- ...seeking a strategic, high-impact actuarial leader to serve as Vice... ...Medicare and government program risk, reserve adequacy, medical... ...forecasting, and predictive modeling. The VP will directly advise... ...technical knowledge of Medicare bidding, pricing, and risk adjustment...RiskRemote work
- ...IDR Filing Specialist Clearest Health is building the most advanced Independent Dispute Resolution... ..., understand what matters, spot filing risks, and move disputes forward with speed and... ...NSA IDR disputes Experience with CMS IDR portals, payer negotiations, batching...CmsRiskRemote work
$180k - $225k
Actuary & AVP - Management LiabilityAt AIG, we are reimagining the way we help customers to manage risk. Join us as a Actuary & AVP - Management Liability to take on key responsibilities... ...exciting position focused on pricing, modelling, and advanced analytics for our...RiskFull timeWork at officeShift work
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