Strategic ACA Risk Adjustment Actuary - Consulting
Blue Cross & Blue Shield of NC
Blue Cross and Blue Shield of North Carolina is seeking a Consulting Actuary – ACA Risk Adjustment to deliver crucial actuarial and analytical services. This role involves leading pricing strategies, evaluating care management models, and producing actionable insights to identify risks and opportunities. The ideal candidate will bring a strong actuarial background with a focus on ACA Risk Adjustment and must hold relevant credentials. Comprehensive benefits and a competitive salary range from $143,616 to $229,786, alongside a bonus structure, are provided. #J-18808-Ljbffr
- ...Consulting Actuary – ACA Risk Adjustment As a Consulting Actuary – ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial... ..., and quality of work. Provide proactive and strategic thought leadership to improve processes, reduce risks,...Risk
$143k - $243k
Prime Therapeutics is seeking a Senior Principal Actuary to provide actuarial direction and strategic consulting. This remote position will innovate pricing strategies and lead actuarial staff. The ideal candidate will have 10 years of actuarial experience, a relevant Bachelor...SuggestedRemote work$97.1k
...from the world and each other. POSITION TITLE Strategic Exploration and Analysis (SEA) Actuary POSITION LOCATION Richmond, VA Remote US (... ...analyzing and communicating the value of multiple risk mitigation initiatives and other business strategy initiatives...RiskLocal areaRemote work- ...highly skilled and analytical actuary to support their Personal... ...contribute to pricing strategies, risk assessment, and overall... ...Be Doing You will support strategic decision-making by providing... ...setup Position level can be adjusted to match your experience Work...RiskWork at officeRemote workFlexible hours
$143k - $243k
...us.Job Posting TitleSenior Principal Actuary - REMOTEJob DescriptionThe Senior Principal... ...modeling concepts and provide strategic consulting both in support of all lines of business... ...experience in underwriting or risk adjusted rate settingManagement/People leadership...RiskWork experience placementLocal areaRemote workWork visa- ...and their policyholders. The Actuary will serve as a key contributor... ...-liability management, and strategic decision-making. This role requires... ...Bermuda EBS/BSCR, Liquidity Risk, Financial Planning and... ...liquidity projections, and risk-adjusted performance indicators...RiskWork at officeRemote work
- ...Position Overview We are seeking a strategic, high-impact actuarial leader to serve as Vice President –... ...of Medicare and government program risk, reserve adequacy, medical cost forecasting... ...Medicare bidding, pricing, and risk adjustment. Strong leadership and team-building...RiskRemote work
$138.15k - $168.85k
...responsible for performing a wide variety of financial and actuarial analyses impacting strategic decision making and the company's financial... ...setting optimization, forecasting support, benchmarking, risk adjustment optimization, provider payment evaluation and review...RiskContract workWork experience placementLocal areaWork from homeFlexible hours$130.57k - $153.62k
...Description At SAIF, actuaries are more than our... ...collaborative teammate, strategic communicator, seeker of... ...reasonable loss and loss adjustment expense reserves.... ...providing support and consult to Underwriting on individual... ...including the Own Risk Solvency Assessment (ORSA...RiskFull time- ...A healthcare consulting firm is seeking a professional for a coding role focused on Medicare and Medicare Advantage initiatives. Responsibilities... ...candidate will have at least one year of experience in risk adjustment coding and hold an active coding certification. This...RiskHourly pay
- ...A health technology company is seeking a Product Manager to lead Risk Adjustment product capabilities across Medicare Advantage, ACA Marketplace, and Medicaid. This role involves owning the execution of Risk Adjustment solutions, working collaboratively with multiple teams...Risk
$117k - $175k
...We are seeking an experience Health Actuary to join our Actuarial and Financial Consulting teams at Mercer. This hybrid role (minimum of 3 days in the office)... ...business of Marsh (NYSE: MRSH), a global leader in risk, reinsurance and capital, people and investments, and...RiskMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$150k - $220k
...A healthcare technology leader in the U.S. is seeking an experienced Consulting Actuary to lead actuarial consulting projects and provide strategic insights to clients. The ideal candidate should have a Bachelor's degree and an ASA designation, with 7-10 years of experience...- ...LMI Government Consulting is seeking a Contracts Business Partner to serve as a strategic advisor to Market leaders. The role involves proactively identifying risks, leading negotiations, and maintaining relationships with key stakeholders. Ideal candidates will have at...Risk
- ...qualified underwriters, giving you a manageable risk profile with potential equity upside. By... ...Parental Leave About the role As the Lead Actuary, you will lead pricing, analytics, and... ...stochastic / scenario-based tail modeling. ACAS/FCAS (or international equivalent). Near-...RiskLive inWork at officeRemote workVisa sponsorshipWork visaShift work
$132.5k - $217k
...Actuary 133793 Zurich North America is seeking an Actuary position to join the Pricing... ...of experience in the Actuarial area plus ACAS or equivalent international certification... ...insurance. Zurich North America is a leader in risk management, with over 150 years of...RiskFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workVisa sponsorship- ...Managerial Consultant VI, Medicare Risk Adjustment Strategy The Managerial Consultant VI role reports to the VP of Retro Chart Operations in reporting... ...of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across...Risk
$212k - $318k
...seeking a Partner, Senior Health Actuary to join our Actuarial and... ...actuarial services aligned to their strategic needs and growth objectives.... ...What you need to have: Consulting experience with large clients... ...: MRSH), a global leader in risk, reinsurance and capital,...RiskMinimum wageWork at officeLocal areaRemote workFlexible hours3 days per week1 day per week$106.9k - $147k
...community Reports To: Associate Director, Actuarial Analytics/Forecasting FLSA: Exempt/... ...accurate and timely information for strategic and operational decisions. Establishes metrics... ...preferred. Exposure to Value-Based, Risk Sharing, or other alternative payment...RiskFull timeContract workTemporary workApprenticeshipRemote workWork from home- ...oversee data submissions, ensuring accuracy and compliance. The ideal candidate will have two years of experience with Medicare Risk Adjustment, proficiency in SQL, Python, and R, and skills in building dashboards. This role is critical in enhancing data quality and...Risk
- ...Personal Risk Specialist The Personal Risk Specialist is an outside sales position... ...individuals, with the ability to provide consultative advice to tailor personal risk... ...competition. Through USI ONE, we develop strategic, timely, and effective risk management and...RiskTemporary workLocal areaFlexible hours
$110k - $135k
...You’ll Do As an Associate Actuary at Imagine Pediatrics, you will... ...the reporting of revenue / risk score trends, healthcare utilization... ...allocation to inform strategic recommendations to senior leadership... ...healthcare, managed care, or consulting organization Experience...RiskContract workTemporary workFor contractorsFor subcontractorWork at office$151.9k - $173.4k
...Strategic Risk Manager We are seeking a Strategic Risk Oversight Manager to join the Strategic Risk team. This exciting, high visibility... ...At least 5 years of Risk Management or Financial Services consulting experience Preferred Qualifications: Strategy or Risk management...RiskFull timePart timeLocal area$75k - $105k
...tracking of financial outcomes related to the strategic transformation program. The analyst... ...and proactively address potential risks or opportunities. Prepare and deliver concise... ...models, and program objectives quickly, adjusting strategies and execution plans as conditions...RiskWork at office$85k - $145.08k
...Allstate Insurance Company is looking for a P&C Actuary Senior Consultant II to manage projects related to reserving insurance business. This role demands collaboration with analytics management and requires strong actuarial analysis skills. The ideal candidate will...$185.76k - $334.32k
...MASSACHUSETTS Kyndryl Consult is the fastest‑growing... ...to the company's strategic growth objectives. As... ...billing, claims, CRM, data, actuarial platforms)... ...modeling, valuation & risk management, finance, reporting... ...compensation will be adjusted appropriately. Pay will...RiskMinimum wageFull timePart timeLocal areaImmediate startRemote work- ...ProSidian is a Management and Operations Consulting Services Firm focusing on providing... ...services focus on the broad spectrum of Risk Management, Compliance, Business Process... ...including, but not limited to, corporate strategic planning; analysis and design; software...RiskContract workWork at office
$164.8k - $188.1k
...Business Manager - Strategic Risk: Insights & Analysis As a Business Analysis Manager at Capital One, you will apply your strategic and... ...paced, entrepreneurial and dynamic environment. Previous consulting experience is a plus Basic Qualifications: At least 3 years...RiskFull timeTemporary workPart timeLocal area- ...able to work on a w2 basis. For our w2 consultants, we offer a great benefits package that... ...Eliassen Group: Eliassen Group is a leading strategic consulting company for human-powered... ...their technology solutions, financial, risk & compliance, and advisory solutions, and...RiskHourly payContract workSeasonal workLocal areaRemote work
- ...products has never presented such opportunities and risks. Teradata is seeking an experienced Manager of Strategic Pricing to help us navigate through those... ...Teradata's global services portfolio-including Support, Consulting, Managed Services, Transaction Services, and AI...RiskPermanent employmentFlexible hours
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