Senior ACA Risk Adjustment Actuary - Strategy & Insights
Blue Cross & Blue Shield of NC
A leading healthcare organization seeks a Consulting Actuary to deliver actuarial services, lead pricing strategies, and evaluate care management models. The ideal candidate will have a Bachelor's degree or higher, membership in the American Academy of Actuaries, and at least 7 years of relevant experience. Responsibilities include strategic thought leadership and managing relationships with vendors and regulators. A competitive salary range offers significant benefits including medical coverage, career development programs, and a 401k match. #J-18808-Ljbffr Blue Cross and Blue Shield of North Carolina
- ...Cross NC is seeking a Consulting Actuary - ACA Risk Adjustment to lead pricing strategies and actuarial initiatives across... ...objectives with actionable insights, identify risks and opportunities... ...of actuarial practice. This is a senior role with opportunities to influence...SeniorRisk
$143.62k - $229.79k
...Overview As a Consulting Actuary - ACA Risk Adjustment, you will play a pivotal role... ...include leading pricing strategies and actuarial initiatives... ...reliable, actionable actuarial insights and recommendations,... ...explanation of results to senior leadership - Highly Preferred...Risk$100k - $150k
...tomorrow. Ascensus is seeking a Senior Fraud Strategy Analyst to join our Fraud Risk Management team. This role will... ...requiring timely analysis, strategy adjustments, and cross-functional... ...improvement opportunities and convert insights into practical solutions Familiarity...SeniorRisk- Milliman in Eden Prairie, Minnesota, seeks an experienced actuary to lead Medicare Advantage forecasting and provide health actuarial support for risk-bearing entities across the US. The role emphasizes leadership, client interaction, and strategic guidance. The successful...SeniorRisk
$128k - $252.5k
...capabilities, assets, and insights to deliver innovative,... ...financial and audit risks, drive organizational change... ...and analytical Senior Consultant to join our... ...responsible for… Supporting the strategy, design, and... ...estimate has not been adjusted for the applicable geographic...SeniorRiskLocal area$150k - $225k
...Affordable Care Act (ACA) health plans in Arizona... ...system, translating actuarial analysis into enterprise... ...catastrophic claims, risk adjustment transfers, and seasonality... ...Actuarial & Financial Strategy Evaluate pricing... ...Translate actuarial insights into actionable business...RiskTemporary workLocal area$110.7k - $218.3k
Position Summary As an Insights Product Senior Consultant on Deloitte's... ...intersection of go-to-market strategy, product activation, and... ...Manage activation priorities, risks, blockers, and product... ...range estimate has not been adjusted for the applicable geographic...SeniorRiskWork at officeLocal area$200k - $275k
...together deep expertise in actuarial science, health... ...and payment, cost and risk, program performance,... ...strategic decisions. As a Senior Consulting Actuary,... ...cost projections, risk adjustment, fiscal impact analysis... ..., reimbursement strategies, financing alternatives...SeniorRiskWork at officeRemote work$119k - $218.3k
Position Summary Senior Consultant - Digital Assets Enterprise Strategy, Risk and Operating Model Design Enterprise... ...emerging technologies with industry insights to help clients bring clarity... ...range estimate has not been adjusted for the applicable geographic differential...SeniorRiskContract workWork at office$189.2k - $372.9k
...Private Equity M&A Strategy & Diligence Senior ManagerOur Deloitte Strategy... ...data into crisp, IC-ready insights. You’ll drive tangible value... ...surface value drivers and deal risks that can affect price or structure... ...estimate has not been adjusted for the applicable geographic...SeniorRiskOdd jobWork experience placementLocal area- Senior Insurance Analyst, Claims Insights - Remote Join to apply for the Senior Insurance Analyst... ...in Claims, Product, Actuarial, Finance and Technology to... ...including graduate degrees, MBS, risk and insurance designations... ...exams and designations (ACAS, FCAS, CERA). 0 - 2 years...SeniorRiskRemote jobHourly payFull timeWork at office
- ...Design analytical models to assess the risk of the card portfolio. Analyze large datasets... ...methodologies to generate actionable insights and support strategic decision-making.... ...analytical reporting to track and enhance strategies. Requirements Experience across...SeniorRisk
- ...Nationwide Financial is seeking a Senior Actuary to lead the Annuity Inforce Management team, focusing on lapse behavior, inforce asset... ...analyses, and collaborate with senior leadership to deliver business recommendations and risk insights across multiple #J-18808-LjbffrSeniorRisk
- ...will lead projects focused on actuarial product enhancements, work... ...actuarial analyses, providing insightful presentations, responding to... ...to make better decisions on risk, faster.At Verisk, you'll have... ...NoticeFellow (FCAS) or Associate (ACAS) of Casualty Actuarial...SeniorRiskWork at office
$140k - $175k
...Actuary - US Programs At AIG, we are reimagining... ...to manage risk. Join us as an Actuary... ...We are seeking a senior pricing actuary to... ...& steering and insight tools. The individual... ...remediation strategies Perform due diligence... ...preferred ~ ACAS or FCAS credential...RiskWork at officeShift work$79.1k - $105.95k
## Actuarial Analyst IIApplylocations: Newark, NJ - Remotetime type: Full... ...and data analytics for risk-adjusted business across ACA, Medicare Advantage, and Medicaid... ...metrics, as well as developing insights to guide risk adjustment strategy, reporting, and pricing/forecasting...RiskLive inLocal area$143k - $286k
...principles, proactively minimizing regulatory risk while enhancing transparency and... ...powered platforms that deliver predictive insights and actionable recommendations to end users... ...information technology, retail, human resources, strategy, or related area., Master's degree in...SeniorRiskFull timeTemporary workPart timeFor contractorsWork at office- ...development of operational plans and risk management strategies, ensuring the highest quality and professionalism... ...Strategy team partners with senior leaders to define and execute... ...plans to test / evaluate strategies and insights which could span process improvement,...SeniorRisk
$71k - $125k
...perspective on KeyCorp's processes and risks through assessment and... ...laws and regulations. The Senior Lead Auditor within the... ...improvement and implementation of strategies to drive team and/or division... ...demonstrate ability to draw insight from risk intelligence and regulatory...SeniorRiskWork at officeRemote workWork from homeFlexible hours- ...company, seeks an experienced Reinsurance Actuary to join the Global Analytics team. You... ...analyses evaluating assumptions, premiums, and risk, and consult with clients on actuarial... ...views to deliver rigorous, actionable insights while modernizing work with AI, Python, and...SeniorRiskWork at office
$100k - $130k
...Position Summary The Senior Actuarial Analyst ("SAA") plays an important role... ...rating structures, pricing insights and portfolio rate monitoring... ...or coursework in insurance, risk management, economics, actuarial... ...Casualty Actuarial Society (ACAS). Preferred: Experience in...SeniorRiskTemporary workWork at officeFlexible hours3 days per week$116.2k - $229.1k
Position Summary Senior Consultant, Strategy, Growth, and TransformationJoin Deloitte’s Finance Transformation... ...that improve decision-making, manage risk, and drive financial and operational... ...disclosed range estimate has not been adjusted for the applicable geographic...SeniorRiskLocal area- Overview:SageSure is seeking a Senior Manager, People Analytics and Insights to build and scale a modern analytics... ...role reports to the Director, People Strategy and Operations. This role is... ...data Proactively identify trends, risks, and opportunities across the workforce...SeniorRiskLive in
- ...customer needs and enterprise strategy. Contribute to the reimagining... ...improvement. Leverage customer insights, analytics, and market trends... ...operational, regulatory, and risk requirements in partnership with... ..., and trade‑offs to senior stakeholders. Comfort operating...SeniorRisk
$150k - $200k
Position Summary The Senior Pricing Actuary ("SPA") plays a crucial role in supporting the rating and... ..., the SPA will deliver actionable insights that support profitable and sustained... ...with a major or coursework in insurance, risk management, economics, actuarial science...SeniorRiskTemporary workWork at officeFlexible hours3 days per week- Join our U.S. Benefits Design and Strategy Team as a Senior Associate! Our U.S. Benefits Design and Strategy... ...to see firsthand how data-driven insights translate into actionable solutions... ...diverse range of areas from finance and risk to human resources and marketing. Our...SeniorRiskVisa sponsorship
$110k - $190k
...Opportunity?This role provides senior level support to the... ...IT related continuous risk monitoring,... ...informal, monitoring and insights.Conduct periodic meetings... ...approach and coverage strategy for Information Technology... ...the platform level, and adjusts annual plans as necessary...SeniorRiskFull timeFlexible hoursShift work- ...passionate about solving complex actuarial challenges and shaping the... ..., analyze emerging risks, and support enhancements for... ...to develop and refine pricing strategies for new and existing products... ...Solutions — delivers data and insights to improve the reach, timing,...Risk
- Ascensus is seeking a Senior Fraud Strategy Analyst to join the Fraud Risk Management team. The role focuses on designing, executing, and improving fraud detection, prevention, and mitigation strategies across the organization. The ideal candidate will have strong fraud...SeniorRisk
$163.4k - $322.1k
Position Summary Senior Manager - Commodity... ...Enterprise Operations & Risk Our Deloitte Regulatory... ...technologies with industry insights to help clients bring... ...solution decisions from strategy through implementation.... ...estimate has not been adjusted for the applicable geographic...SeniorRiskLocal area
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