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Description The Actuarial Analyst 2, Pricing is responsible for ... standard and custom benefits. The Actuarial Analyst 2, Pricing work assignments are ... courses of action. Responsibilities The Actuarial Analyst..
... databases, and logic supporting the actuarial forecast of Medicare Advantage business ... Presenting on projects with larger actuarial audiences and supporting the team's ... the team's interactions with both..
Description The Actuary, Analytics/Forecasting will be the actuarial leader within Care Delivery finance. They will be the national subject matter expert (SME) for financial claims analytics and work in conjunction with ..
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing and oversight of other stand ..
... role within the Senior Products Actuarial Medicare Advantage Prescription Drug Pricing ... profitable membership growth. Accountable for actuarial certifications on rate filings, including ... Meets eligibility requirements for Humana's..
Job Information Humana Lead Product Manager - Group Dental, Vision and Life in Louisville Kentucky Description The Lead Product Manager Leads all phases of the product life cycle for Vision and ..
Description Responsibilities The Financial Analytics Lead collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends. Explains variances and trends and enhances modeling techniques. May possess ..
Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..
Description The Financial Analytics Lead manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of diverse ..
Description The Associate Actuary, SPA RX will be mainly responsible for supporting the pricing work related to our standalone Prescription Drug Plans (PDPs). This includes both bid development and reforecasts throughout ..
Description The Associate Actuary, Medicaid Behavioral Health will lead the Behavioral Health Early Indicator Report process for all Medicaid markets in order to analyze emerging experience, identify opportunities for trend-bending initiatives, ..
Description Humana's Enterprise Clinical Management team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Clinical Analytics and Trend team uses advanced scientific techniques, ..
Description The medical utilization management lead will oversee projecting and tracking of medical trend bender strategies, assist with medical strategy value assessments, and support pipeline medical modeling needs. We are seeking ..
Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..
Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders across the Humana ..
Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..
Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Pharmacy. ..
Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position will work and collaborate with ..
Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..
Description The Associate Actuary, Medicaid Trend will lead the Inpatient Early Indicator Report process for all Medicaid markets in order to analyze emerging experience, identify opportunities for trend-bending initiatives, and guide ..
Description The Pharmacy Clinical Programs Pharmacist Lead will be a part of an interactive team with broad exposure and scope within Humana. This individual will develop and invest in both clinical ..
