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Healthtech
The Director of Actuarial Services will lead financial engineering for Value-Based Care contracts, manage a team of actuaries, and provide strategic advice to executive leadership.
Top Skills:
Actuarial ScienceAlternative Payment ModelsData ScienceFinancial ModelingValue-Based Care
Healthtech
Audit medical records to identify inappropriate billing practices and recommend actions through review of claims data, medical records, and policies. Consult on fraud detection using clinical expertise.
Top Skills:
Health Insurance ClaimsMedical Coding
Healthtech
Assist in financial analysis, pricing, and risk assessment for ACA Marketplace health insurance products, focusing on healthcare cost forecasting and data analysis.
Top Skills:
RSQL
Healthtech
Conduct audits of medical records to identify billing inaccuracies and recommend actions based on claims data and regulations. Analyze provider billing patterns and suggest preventative measures to mitigate future issues.
Top Skills:
AuditingClinical AnalysisMedical Coding
Healthtech
The Associate Actuary conducts analysis, pricing, and risk assessment to estimate financial outcomes, supporting internal and external initiatives with innovative methodologies and data-driven insights.
Top Skills:
PythonRSASSQL
Healthtech
This Senior Actuary role focuses on leading strategic initiatives, conducting financial analysis, developing methodologies, and influencing cross-functional teams to optimize health care programs.
Top Skills:
PythonRSASSQL
Healthtech
As a Remote Psychologist Reviewer, you will authorize and monitor care for behavioral health issues, conduct peer reviews, educate practitioners, and address complaints, focusing on youth with Autism.
Top Skills:
Applied Behavior AnalysisBehavioral HealthClinical PsychologyPsychological Testing
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