Health Sector Jobs

Financial Reporting Manager - Health Insurance IndustryA leading health insurance organization is seeking a Financial Reporting Manager to oversee the day-to-day operations of its Financial Reporting division. This role is ideal for a seasoned accounting professional with strong technical expertise and leadership capabilities, looking to make a mea...

Position Summary:The Senior Healthcare Analytics Consultant will serve as a subject matter expert in Medicare Advantage risk adjustment, leveraging advanced analytics to optimize revenue accuracy, compliance, and performance. This role requires deep expertise in risk adjustment methodologies, data analysis, and regulatory requirements, combined wit...

We are seeking a Health Actuarial Consultant with deep experience in value-based care (VBC) to help payers, provider groups, and risk-bearing entities design, evaluate, and optimize risk contracts. You will translate claims, clinical, and utilization data into actionable financial insights and contracting strategies-covering shared savings/loss mod...

Position Summary:The Director of Risk Adjustment & Analytics will lead the strategy, operations, and analytics for risk adjustment programs across Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business. This role is responsible for ensuring accurate risk score capture, compliance with CMS and state regulations, and driving financia...

OverviewThe Senior Consultant, Health & Welfare, serves as a strategic advisor for large employer clients (typically 5,000+ employees), providing advanced guidance on medical, pharmacy, dental, disability, life, and ancillary H&W programs. This role requires deep technical expertise in H&W plan design, funding, compliance, and-critically-vendor neg...