At-Bay IncSenior Actuary At-Bay IncSenior Actuarysan francisco, CA$150,000–$185,000 / yearYou'll be surrounded by a team that loves what they do, leverages technology to improve efficiency & minimize duplicative work, and recognizes the enormous responsibility that they have \u2013 to support key business decisions with data backed insights and a deep understanding of insurance risk. Why you should join our Actuarial Pricing team: As an Senior Actuary on the Pricing team, you will be working under the risk function with talented team members in modeling, risk analytics, decision engine, insurance and tech product.
Hinge Health IncActuary Hinge Health IncActuarySan Francisco, CAYoull serve as the primary subject matter expert in high-stakes negotiations with BUCA plans, ACOs, and Integrated Health Systems, defending our ROI methodologies and designing the financial frameworks that enable Hinge Health to participate in shared-risk arrangements-ultimately expanding access to care for millions. As Hinge Health scales from a wellness benefit to a medical insurance product with value-based care at its core, youll be the critical bridge between our Clinical Research, Finance, and Commercial teams-positioning the economic value of our digital MSK solutions in a way that wins over the most skeptical health plan actuaries and secures millions in "at-risk" contracts.
QuanataActuary [Remote-US] QuanataActuary [Remote-US]San Francisco, CARemote$210,000–$260,000 / yearCross Functional Collaboration - Lead cross-functional collaborative effort to curate and support delivery of actuarial products and services, ensuring exceptional performance and identifying opportunities for growth and product expansion. https://www.sf.gov/sites/https://www.sf.gov/sites/default/files/2022-12/FCO%20poster2020_0.pdfThis role is employed by Quanata, LLC which is a separate company in the State Farm family of companies.
RSM US LLPP&C Actuarial Consultant RSM US LLPP&C Actuarial ConsultantSan FranciscoWe also expect the following business and practice development efforts:Cultivate and nurture client relationships to create awareness of Firm capabilities to help generate incremental business;Enhance tools and templates in place to ensure efficiency and excellence in our work;Contribute to the intellectual capital of the practice and the Firm. There's no one like you and that's why there's nowhere like RSM.Actuary - Property & CasualtyRisk & Regulatory Consulting, LLC Work from home-any US locationPosition OverviewAs a P&C Actuary you will work with a team of industry professionals on regulatory consulting and other insurance related engagements.
Omada Health IncSenior Director, Clinical and Translational Research Omada Health IncSenior Director, Clinical and Translational ResearchCA$243,800–$304,800 / yearLead the development and interpretation of health economics and outcomes research (HEOR), including cost-effectiveness, budget impact, and total cost of care analyses that clearly articulate value to Medicare Advantage plans, commercial employers, and provider partners. Deep expertise in health economics and outcomes research (HEOR), including hands-on and/or leadership experience with healthcare claims analysis, cost and utilization modeling, and total cost of care analyses for Medicare Advantage and commercial employer populations.
Blue Cross and Blue Shield AssociationSenior Director, Pharmacy Strategy, Analytics and Performance Blue Cross and Blue Shield AssociationSenior Director, Pharmacy Strategy, Analytics and PerformanceOakland, CAYour Knowledge and Experience Requires a currently active and unrestricted California Registered Pharmacist (RPh) license Requires a Doctorate of Pharmacy (PharmD) degree from an accredited school of Pharmacy in the United States Requires 12 years prior relevant experience Requires 6 years of management experience Thorough knowledge regarding therapeutic use of drugs Prior management experience in health plans or pharmacy benefit management companies, with deep knowledge of pharmacy benefit, formulary and network products, program strategies and competitive landscape Prior experience in evaluation of pharmacy program value and performance drivers Prior experience in vendor partnership, contract operations, negotiations, and performance management Strong business acumen with proven experience in pharmacy strategy development and planning Excellent presentation, verbal and written skills with ability to understand and convey complex ideas to audience with diverse backgrounds Excellent communication skills with prior experience in presentations to internal and external executive level business stakeholders Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. Your Work In this role, you will: Lead development and implementation of cost of health care initiative roadmap to meet trend and financial targets for Commercial and Medicare lines of business Partner with finance/actuary teams to provide pharmacy insights to support pharmacy trend forecast and pricing Drive financial performance of key initiatives such as Pharmacy Care Reimagined and biosimilars, and negotiate with vendors to improve performance as needed Evaluate vendor driven solutions and partnership opportunities and support contract development and negotiation Provide oversight and direct management of select vendor contract and outcomes Serve as liaison to pharmacy informatics team to provide oversight and help shape analytic methods and reporting solutions to support financial and operational performance monitoring and return on investment evaluation Build a high performing team and foster a great workplace to do meaningful work.