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The Actuarial Analyst II at Point32Health will develop and file rates, enhance forecasting and pricing models, monitor experience and industry data, and present findings. The role requires executing analytical tasks independently and collaborating with various departments to support business functions in the health insurance industry.

The Senior Consultant will lead strategic planning and capital management efforts by developing a 5-year financial model, evaluating capital requests, and reporting on strategic goals. This role involves collaboration with various teams to analyze financial options and create business cases, supporting the organization’s strategic direction through informed decision-making and comprehensive financial assessments.

The Finance Operations Analyst manages various operational processes related to financial transactions, including claims disbursement and provider collections. They ensure accurate transaction processing, coordinate with teams on financial disbursements, assist in corporate projects, and maintain effective communication with partners.

The Senior Manager of Compliance will lead the execution of compliance strategies for Medicare and Dual Programs, manage regulatory compliance infrastructure, maintain relationships with regulators, develop policies, conduct investigations, oversee administrative tasks, monitor compliance performance, and ensure adherence to federal and state laws.

The Senior Actuarial Analyst will support the financial forecasting and pricing needs for Medicare Supplement Products and Medicare Part D. Responsibilities include data analysis for financial planning, product development, and medical cost containment, collaborating with various departments, and utilizing software packages like SAS and Excel.

The Senior Actuarial Analyst supports the Medicare Part C pricing work, focusing on pricing, rate filing development, and strategic analysis. Responsibilities include preparing and submitting Medicare Advantage bids, maintaining and developing pricing models, collaborating with business partners, and ensuring compliance with CMS regulations while using software tools such as SAS and Excel.

The Sr Network Consultant at Point32Health will develop and manage annual network strategies, oversee complex initiatives across multiple business units, and ensure alignment with business goals. They will provide expertise in data-driven recommendations, collaborate with cross-functional teams, and lead efforts for timely execution of projects.