The Managing Director, Policy Analysis - Medicaid at Blue Cross and Blue Shield Association is responsible for developing and leading the organization's strategy for influencing federal policies and regulations related to Medicaid. This role involves overseeing the development of public policy for assigned portfolios, leading the identification and analysis of key legislative initiatives and regulations, and working closely with senior executives to develop strategies around regulatory and legislative priorities. The position requires extensive knowledge of Medicaid and health policy, as well as the ability to influence decision and policy makers.

MANAGING DIRECTOR, POLICY ANALYSIS - MEDICAID

Managing Director, Policy Analysis - Medicaid

DW Simpson is seeking an FSA with 5-10 years of healthcare actuarial experience, focusing on behavioral health. The role involves performing analytics of healthcare data, developing reports on technical concepts, and leading a group of actuarial students in projects. Candidates must have knowledge of SAS, SQL, or R.

Actuary - Medicaid (Behavioral Health) - Remote

Actuary - Medicaid (Behavioral Health)

D.W. Simpson is seeking an FSA with 5-10 years of healthcare actuarial experience, focusing on behavioral health. The role involves performing analytics of healthcare data, developing reports explaining technical concepts, and leading a group of actuarial students in actuarial projects. Knowledge of SAS, SQL, or R is required.

The Director of Health Economics and Outcomes Research at GE HealthCare leads the Global Health Economics & Outcomes Research team for the Imaging portfolio. This role involves working cross-functionally with stakeholders to identify opportunities, lead outcomes research projects, and generate evidence to support product value propositions. The individual will also manage a team of HEOR professionals, ensuring strategic guidance, prioritization, and technical oversight.

Director of Health Economics and Outcomes Research, Global Imaging

Director of Health Economics and Outcomes Research

Huron Consulting Group is seeking a Healthcare Financial Advisory Services Director to join their team. This role involves working with healthcare organizations to improve clinical outcomes, reduce the cost of patient care, and optimize business operations. The position focuses on providing solutions tailored to various healthcare financial management scenarios, including business and financial planning, interim management, business assessments, restructuring, and more. The ideal candidate will have over 10 years of experience in consulting, with a focus on financial advisory within the healthcare provider industry.

Healthcare Financial Advisory Services Director (Remote, Flexible Location)

Healthcare Financial Advisory Services Director

The Medical Director for Medicaid at Highmark Health ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. This role involves reviewing escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of requested treatments or services. The incumbent may require telephonic peer to peer discussions and is responsible for compliance to NCQA, URAC, CMS, DOH, and DOL regulations. Additionally, the incumbent participates in the multidisciplinary team for case and disease management, advising on high-risk cases, and may be assigned special projects to support and improve member care.

Medical Director, Medicaid (Remote PA, DE or WV)

Medical Director, Medicaid

As a Healthcare Financial/Actuarial Associate Director at WTW, you will be a key member of the Financial Actuarial & Analytics Community of Expertise, leading clients' financial/actuarial engagements across a variety of health and group benefit programs. This role involves communicating FAA concepts, strategies, and results to drive client action and improve plan performance, working on cutting-edge projects, and leading teams on cost avoidance, risk, and funding strategies.

Healthcare Financial/Actuarial Associate Director

The Principal Actuary at Prime Therapeutics is responsible for supporting the development of actuarial concepts, providing thought leadership, and offering strategic consulting support. This role involves collaborating with senior management, leading complex projects, and managing the development of innovative actuarial modeling concepts. The position requires a deep understanding of actuarial data, pricing initiatives, and the ability to present complex analyses to key stakeholders.

Principal Actuary - Medicare Part D - Remote

Principal Actuary - Medicare Part D

As the Director of Analytics, you will lead a team of Analytic Consultants, participating in all phases of the development lifecycle from requirements gathering to coding and testing of business intelligence solutions. This role involves collaborating across departments to solve problems and achieve organizational goals, while also driving the business forward.

Director, Health Plan Analytics | Remote | Contract

Director, Health Plan Analytics

+bia1E/9Ura0W56PK0QRs1nb0fPaPw1LecFl73e1Zno=

0yryKyiv//5ZYlTDMV3LFPtHwym9DzfhaGKkhjLWumc=

1PbXZCkmjsWX/JPZ0zDz35M1CdhIEEhFhVTF9UZbsUw=

3eZiYdEf1GWONV+R64EHcPPvLb4v6J0JWgZreMFwQRo=

If QUICK_APPLY_SKIP_SUBMIT is set to true these providers will ignore the setting and still submit.

7UWw5juL5kSuktDEYRAJaZaaSr/dkptNWDM6YczaXvQ=

7veoecbDe4L73TGHP2ISin46xsmdddCOKtRpfQxjDN8=

8yxkMFFydubARRB/A0n8dt2+tN+s0Qba5Bm+ZhR6A74=

917BuR4psrYXtoUglgzOqK2gT6nHiFac0vaL7OlNrj4=

BTHovjnwfD7MxYTZVgYObuyOKROSVx/I0X5yo3nLGw8=

CLGiSKlyYhMQqU9L5I5y5Kcwm5S4f77Utdfa8ExP9Bw=

HRzePCbXb7ufZUWsFxKsWQyEIUrwU5VCFht/1iNmtTo=

Id0yBc3Lk10hOWDAGUFDOHeLqi73qkOki+HsqthrqY8=

MltczCjhmN0jRgow3UO+iDMtltW8AfF7hJYVp339Mbk=

NI/PueuALd9KIOo3aGPg/youiuzzXOlUegGuLsVspks=

PX9iho18hgd+if3tD3rS2RRXrbzlHq613z5WXlVZ7+k=

VUOVNO4gG3SQXJg1E5TYU50XsmIaCxqBNHZWw48U8/0=

Y1UD/mVBFR+4WXoXRwyYrTpXnLvnt4lZ1G/TbY1bWR4=

dCG5zdM4/wqhDoKFVboNOhuBLLEkQ95fHprPrsJVaxM=

fr9JCYJNVqBBC7QlJK+AFZY+8NEptSjJEpTFKNeRx4U=

h+e82EFLmuH1BOGKDTUyfliYoBDF4Tq54kkm9H1Q67M=

kF6veelbgshOJpV3Mn6vB3mb3LuydeEVDSOxtIHM8N8=

kbjXyyPP5adVqoaL7EYbdoyqDzFqF5a+VbOBN3j1bVg=

lWPMwjsh2VXkQjRFxWpjkQ/+Yx1eEx75EAWbIUFwV2Y=

mA5rgLX7i0lO6F1oJJxlP+y/1rvzscLgYBBk6pyKBWE=

p1flkibS2FOOSRZRb3dJqhHmZ8tmXXoyz3YXr0O9NUo=

pZVrGsKBFfWx3aTAH3sKk4BlHpV1jgUZyoszy851/n8=

u8Ak4aZwDDE5inqS+1aY1R2zXd+nIapHkAsGcAr3yzo=

Sharing EarnBetter with your community helps us offer our amazing service for free forever!

Remote Director, Actuarial of Medicaid Pricing Jobs Hiring Now

MANAGING DIRECTOR, POLICY ANALYSIS - MEDICAID

Actuary - Medicaid (Behavioral Health) - Remote

Actuary - Medicaid (Behavioral Health) - Remote

Director of Health Economics and Outcomes Research, Global Imaging

Healthcare Financial Advisory Services Director (Remote, Flexible Location)

Medical Director, Medicaid (Remote PA, DE or WV)

Healthcare Financial/Actuarial Associate Director

Principal Actuary - Medicare Part D - Remote

Director, Health Plan Analytics | Remote | Contract