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
- ...More Than a Traditional Actuarial Role? This opportunity is... ...Responsibilities Lead CMS (Centers for Medicare & Medicaid Services) bid development and HPMS (Health... ...maintain IBNR reserve modeling and support monthly... ...reporting cycles Perform risk adjustment modeling, HCC...CmsRisk
$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... ...allowsOngoing maintenance and enhancement of pricing model to enable better underwriting...CmsRiskFlexible hours- ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide array... ...pricing strategies, evaluating advanced care management models, conducting competitive benchmarking analyses, and designing...CmsRisk
$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- Aflac is seeking an Actuary III in Georgia to advance actuarial analyses and financial modeling in a collaborative environment. The role emphasizes technical proficiency, cross‑functional teamwork, and ongoing professional development within a Fortune 500 company. You will...Risk
- ...Brokers & Consultants is seeking a Property Actuary based in New York, NY. The ideal candidate will build and validate pricing models for property insurance, ensuring they meet... ...analysis and collaboration with brokers and risk managers. Qualifications include...Risk
- 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
- ...exclusive features. Position Title: Senior Actuary - Medicare Strategy Location: Remote... ...collaboration with product, finance, and risk adjustment teams to ensure financial sustainability... ...projections to regulatory bodies such as CMS and state health departments. Partner with...CmsRiskFull timeWork at officeRemote work
$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- Our client is seeking experienced consultants to support an actuarial model testing and validation program. The engagement will involve independent assessment of actuarial and insurance risk models and/or investment and analytics models. Candidates should have strong experience...Risk
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- ...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$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
$81.4k - $151.8k
...revenue)Prepare P&L and Balance Sheet Reconciliations as part of month-end closeCoordinate with legal entity and regulatory accounting, risk, operations, and other support groupsAnalysis and AI-driven process improvementCreate and update monthly analysis with regard to key...CmsRiskFull timeContract workPart timeWork at officeLocal area- ...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
$68.04k - $118.8k
...including dashboards and tracking documents) on progress status and risks to ensure that directory production stays on track. Provide... ...to include reviewing reports from regulatory entities (i.e. DOH, CMS, etc.) noting deficiencies and facilitate information gathering,...CmsRiskRemote jobContract workWork experience placement$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- Pryor Associates in New York, NY is seeking an experienced Actuary to support pricing and modeling for primary and reinsurance clients. The role requires collaboration with marketing, brokers, clients and other stakeholders to drive pricing accuracy and insights. Ideal...
- CenterWell Senior Primary Care in the United States is seeking an Actuary, Network Management Analytics, to oversee post-acute network... ...growing area of the business. You will build an alternative payment model for post-acute care, ensure data integrity, and collaborate with...Remote job
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$144.8k - $190k
...secure their future and protect the ones they love. The Corporate Actuarial organization supports this mission with actuarial and business... .... To support the expanding role and influence of our valuation models, we are hiring an Actuary for the Life Valuation Modeling team....- Smith Hanley Associates is seeking a Health & Benefits Actuary to support HR-related M&A due diligence, providing actuarial analysis and... ...evaluate healthcare costs and liabilities, develop financial models, assess plan design and funding arrangements, and present findings...
$87.2k - $217k
...America is currently looking for a Senior Actuarial Analyst or Associate Actuary based out of... ...with statistical and predictive modeling techniques including but not limited to decision... ...insurance. Zurich North America is a leader in risk management, with over 150 years of...RiskTemporary workApprenticeshipWork at officeLocal area$151k - $181k
...provide insurance solutions that enable businesses to manage risks with confidence.Job DescriptionSummary:The main purpose of the Lead Capital Actuary is to lead the regulatory and rating agency capital models for Clearbrook and support the CRO with all aspects related...RiskFull timeWork at officeLocal area
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