Senior Fraud Investigations Analyst
Job DescriptionWe are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedur…
Principal Value-Based Care Operations Advisor
Job DescriptionLeads enterprise efforts supporting the design, operationalization, and optimization of value-based care programs across the full operational lifecycle. The Principal Value-Based Care Operations Advisor provides subject matter expertise spanning…
Manager, IT Solution Delivery
Job DescriptionAs a Domain expert in IT Healthcare Integrations and Interoperability solutions with an understanding of Healthcare Payer/Provider clinical data exchange you will own and lead valuable deliveries that improve the health experience of our members…
Consulting Actuary - Pharmacy
Job DescriptionThe Consulting Actuary - Pharmacy serves as a senior-level individual contributor within the Pharmacy Analytics team, supporting the organization's pharmacy strategy through advanced actuarial and analytical expertise. This role is responsible f…
Actuarial Analyst
Job DescriptionJoin our team as an Actuarial Analyst, where you will use your expertise in mathematics, probability, statistics, and business principles to support a variety of actuarial functions, including rating and pricing, valuation, healthcare economics,…
Consulting Actuary - ACA Risk Adjustment
Job DescriptionAs a Consulting Actuary -ACA Risk Adjustment, you will play a pivotal role in delivering a wide array of actuarial and analytical services for our organization. Responsibilities include leading pricing strategies and actuarial initiatives for bu…
Senior Actuarial Analyst - Medical Economics
Job DescriptionWe're seeking a Senior Actuarial Analyst to support the Medical Economics Enablement team by turning complex healthcare data into actionable insights that improve affordability and inform strategic decision-making. This role partners closely wit…
Actuarial Analyst - Medicare
Job DescriptionWe are seeking a motivated Actuarial Analyst to join our Medicare Pricing Team. In this role, you will apply your mathematical and statistical knowledge to support activities such as rating, valuation, healthcare economics, and financial forecas…
Senior Strategic Advisor, Healthcare
Job DescriptionActs as a senior member of the strategic function by contributing to the achievement of innovation-based goals through new forms of pharmacy reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunitie…
Senior Fraud Investigations Analyst
Job Description We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities include maintaining confidentiality, adhering to SIU Policies and Procedu…