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With a group-wide focus on wellness and a desirable weekday-only schedule, you can enjoy a healthy work-life balance while taking advantage of everything that this beautiful and welcoming community has to offer.
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Take advantage of an exciting opportunity to join Providence Medical Group as a full-time board certified/board eligible Adolescent Medicine physician. Offering patient-centered care, Providence Medical Group partners with some of the region's most advanced hospitals, including Providence Sacred Heart Medical Center & Children's Hospital, Providence Holy Family Hospital, Providence Mount Carmel Hospital and Providence St. Joseph's Hospital.
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Have a deep understanding of Medicare Advantage regulations, risk adjustment methodologies, and a strong analytical background. Be responsible for developing and maintaining actuarial models, analyzing data, and providing strategic insights to support the pricing and bidding process for our Medicare Advantage plans.
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This is our Advantage: On Demand Pay-get paid tomorrow for work done today! Comprehensive benefit packages including medical, dental, and vision 401K through Fidelity Paid Time Off (PTO) Educational and tuition opportunities Various Discount Programs Offered Wellness Programs offered through WebMD Employee Recognition Programs Culture of employees creating an IMPACT.
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Any additional relevant certification will be considered an advantage (HVAC, CMRP etc.) Any additional relevant certification will be considered an advantage (HVAC, CMRP etc.) Same Day Pay Available.
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5+ years of healthcare actuarial experience; Experience working with Medicare Advantage pricing and bid development. Experience certifying the Medicare Advantage Bid. Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
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Medicare Advantage Bids and Benefit Modifications. At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Company: Providence Jobs. Responsible for the management and oversight related to pricing formulas, trend analytics, forecasting, revenue and benefit expense budgeting, valuation, provider contracting analytics, and revenue liabilities and receivables.
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Providence Health Plan caregivers are not simply valued they re invaluable. Providence is proud to be an Equal Opportunity Employer. Why Join Providence? Fellow or Associate in the Society of Actuaries (FSA or ASA.
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Master's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study. Bachelor's Degree in Statistics, Computer Science, Mathematics, Social Science or another related field of study.
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Provide expertise and consultation to support the Medicare bid process and pricing strategy. The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
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Providence is proud to be an. Maintain an understanding of the changing health care trends and actuarial regulations and how they impact the organization. Build and maintain relationships with other leaders across the organization including Product, Finance, Regulatory, Pharmacy, and outside the organization (CMS, provider groups.
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Analyzing and interpreting regulatory guidance to ensure compliance with Medicare Advantage bid requirements. Developing and implementing bid pricing strategies as well as analytical rigor and speed for assessing product design impacts on financial performance for Medicare Advantage plans to optimize performance.
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Experience with Commercial, Medicare, and Medicaid revenue methodologies. Evaluate the financial performance for Medicaid/Medicare lines of business. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.
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Provide oversight to financial/encounter data submission in support of Medicaid capitation rate setting. Experience with writing queries in SQL or another programming language. Lead the review of Medicaid capitation rate assumptions and methodology.
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Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington.
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advantage job Company: Providence
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