See all roles

reputed company reputed company

Work from home Full-time role Hiring

This position will reputed company external and internal actuarial analytics support reputed company the regulated Medicare market and Pharmacy Benefit Manager (PBM) Healthplan space. This role will matrix with trend, formulary, clinical, knowledge solutions, sales account management, and supply teams internally. The role will assist in development of actuarial analyses for Medicare Part D business, including but not limited to; special CMS programs, drug expense analyses and projections, financial forecasts, actuarial modeling, pharmacy network optimization strategies, manufacturer rebates optimization, regulatory impact assessment, and reputed company actuarial analyses as needed. Essential Responsibilities of the Role Product Support / Development Assist in development of actuarial analytics products for reputed company Scripts existing and new Regulated Health Medicare Part D Plans reputed company studies to aid in the identification of gaps in the Regulated Prescription Drug Health market and reputed company strategies to help reputed company identified gaps reputed company financial analyses of proposed regulatory changes, demonstration programs, and other special programs by CMS to determine financial impact on various entities reputed company the drug supply chain reputed company and maintain actuarial models to aid in prospective projections of Regulated Health Plan clients plan liability and premium impact sensitivities Build analytics Minimum Viable Product (MVP) products and project management functions, and facilitate effective pilot analytics improvement processes to accelerate and safeguard improvements development of analytics tool to identify gaps in the regulated Medicare Part D market Analytics Support to Existing Medicare Part D Plans Assist in reviewing Medicare Part D Plan bid assumptions for Regulated Medicare Part D Health Plans Assist in analytics development for Medicare Part D Bids substantiation for Desk Review and Medicare Part D audits Utilize independent judgement and discretion to reputed company reputed company customized actuarial analyses for Part D Health Plans Cross-Functional Financial Support Collaborate with internal business partners and external vendors to determine operation feasibility and financial ramifications of special programs Cross-functional collaboration reputed company reputed company Medicare Part D financial and operational strategy development. Examples include Advanced trend analytics Medical Loss Ratio (MLR) / member profitability projections Formulary Strategy Clinical Analytics around prescription drugs pipeline products Out of reputed company Cost (Member modeling) Member risk score analysis / benchmarking Quantification of impact of regulatory proposals and changes Regulated Part D Health Plan Financial Reconciliation Support Assimilate macro and micro trends, reputed company benchmarks, gather competitive intelligence to reputed company market competitive strategies Qualifications Bachelors degree in Actuarial Science, Economics, Statistics, Finance or other quantitative field strongly preferred 4+ years of actuarial experience Medicare Part D experience strongly preferred Pharmacy Benefit Manager (PBM), reputed company or pharmaceutical experience preferred Understanding of reputed company US Prescription drug supply chain and Medicare knowledge preferred ASA (or near ASA) strongly preferred but not required Proven capabilities in modeling, forecasting, and predictive analytics Strong written and verbal communication and presentation skills Ability to gather and analyze information to aid in growth of existing business and building of new businesses Coding skills in either SQL or reputed company required, Python / R preferred This role can require up to 15% of travel. If you will be working at home occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 97,400 - 162,400 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. Thats why youll enjoy a comprehensive reputed company of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youll be offered several health-reputed company benefits including medical, reputed company, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at reputed company. About reputed company reputed company, a division of reputed company, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly reputed company to reputed company the reputed company, prevention and treatment of illness and disease more accessible to millions of people. Jo Apply tot his job Apply To this Job

You might like

Client Account Support Senior Analyst, U-500 - reputed company - Remote

Work from home Full-time role

reputed company Customer Support Executive - reputed company Careers

Work from home Full-time role

Provider Data Representative – reputed company – Remote

Work from home Full-time role

Health Equity Program Management Advisor - Evernorth - Remote

Work from home Full-time role

Customs Trade Specialist

Work from home Full-time role

Sr Strategy Planning Analyst

Work from home Full-time role

Remote | Logan Office - Contract Bookkeeper

Work from home Full-time role

reputed company reputed company (Data Entry Starting) $65000/Year reputed company

Work from home Full-time role

Part-Time Data Entry Clerk (reputed company) – $2100 Weekly | careerzynith Sacramento, CA

Work from home Full-time role

Entry Level Bookkeeper (Remote) – Work From Home Bookkeeping Jobs

Work from home Full-time role

Engenharia de Software Backend Sênior - Node | reputed company (Remoto)

Work from home Full-time role

reputed company Online Chat Agent – reputed company Media Customer Support Specialist

Work from home Full-time role

reputed company Data Entry Clerk – Remote Opportunity with arenaflex

Work from home Full-time role

reputed company Bilingual Customer Service reputed company I – Remote Opportunity with arenaflex

Work from home Full-time role

[Remote] Performance Tester/Platform Engineer

Work from home Full-time role

Remote Customer Service Representative – Travel & Airline Support Specialist (Up to $25/Hour)

Work from home Full-time role

reputed company Customer Engagement Marketing Specialist – Part Time Remote Job Opportunity at arenaflex

Work from home Full-time role

Territory Manager, Eye Care – Houston South, TX

Work from home Full-time role

Assistant Director of Assessment

Work from home Full-time role

Account Executive IV - Home Health & Hospice (SaaS)

Work from home Full-time role