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Good match if you want health-plan actuarial work on Medicare Stars inside a large integrated insurer in Pennsylvania; weaker fit if you need remote work or published pay and review data before applying.
As Actuary – Medicare Stars and Quality at Highmark Health, your day centers on CMS Star Rating performance for Medicare Advantage. You analyze quality and utilization data, model Stars outcomes, partner with clinical and operations teams on interventions, and document assumptions for leadership and compliance reviews.
Build depth in Medicare Advantage Stars methodology, healthcare actuarial modeling, and quality-measure literacy. CERTS lists no family or resources for this role, so no exam or certificate costs are stated.
The listing sets remote to 0, so plan for Indiana County, Pennsylvania presence rather than fully remote work.
Public summary describes Highmark as a Pittsburgh-based nonprofit insurer and integrated delivery network with multiple subsidiaries.
Occupation salary data is null and CERTS resources are empty, so no pay bands or cert costs are provided here.
Website: highmarkhealth.com
Highmark Inc is an American nonprofit healthcare company and integrated delivery network based in Pittsburgh. It is a large individual health insurer in the United States, which operates several nonprofit and for-profit subsidiaries.
Public cache only — not an employee review.
Actuary - Medicare Stars and Quality, Highmark Health, Indiana, Indiana County What This Role Involves This position is for an ASA Certified actuary focusing on developing advanced models and analyses specifically aimed at forecasting Medicare Advantage Star Ratings. The role involves proactively monitoring and analyzing changes to methodologies and included measures related to Medicare Advantage Star Ratings. Day-to-Day Responsibilities Initiate and lead the development of advanced actuarial models and analyses for forecasting Medicare Advantage Star Ratings. Proactively monitor and analyze developments and changes in Medicare Advantage Star Ratings methodologies and included measures. Provide direction to team members on complex actuarial projects related to Medicare Advantage Star Ratings. What You Bring ASA Certification or equivalent experience. Experience in developing advanced models and analyses for forecasting Medicare Advantage Star Ratings. Proven ability to proactively monitor and analyze changes in methodologies and included measures related to Medicare Advantage Star Ratings. Why Join Highmark Health Highmark Health offers a dynamic work environment where you can contribute to improving the health of communities. As part of our team, you will have access to state-of-the-art tools and resources, as well as opportunities for professional growth and development. Applying for This Role To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. Please ensure all required fields are filled out accurately and comprehensively. To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
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