Build and maintain member-level actuarial models for risk adjustment, HCC capture, and medical economics across MA, MAPD, ACA, and Medicaid populations.
Design actuarial logic for customer-facing dashboards, partnering with data engineering and product teams to deliver accurate, timely visualizations.
Support RADV readiness by modeling audit exposure and prioritizing chart review efforts based on financial impact.
Reveleer delivers a unified platform spanning risk adjustment, quality improvement, clinical intelligence, and member management for health plans and provider organizations navigating value-based care. Trusted by over 80 customer organizations nationwide, the platform integrates data, analytics, and intelligent workflow automation into one governed system.
Manage the Experience Rating Refund (ERR) functions and team to ensure accurate and timely delivery of experience reports and compliance with contract provisions.
Review and approve experience reports, administer ERR source systems, and investigate discrepancies to ensure correct refunds and retro premiums.
Lead process and technology initiatives, develop training, and provide consultative services to internal and external customers as a trusted SME.
We are a family of companies dedicated to helping customers achieve financial well-being and peace of mind through insurance, retirement plans, and annuities. With a high-performance culture focused on operational excellence and a customer-first commitment, we have been a leading provider since 1906.
Develop and maintain pricing models and rate adequacy monitoring tools.
Perform internal quarterly and annual loss and loss adjustment expense reserve analyses.
Design and execute complex data analyses using advanced statistical techniques.
EverPeak provides a digital platform for small business owners to buy and manage workers' compensation insurance. The company is focused on innovation and customer experience, with a team of passionate problem solvers.
Drive state expansion by developing rating models and supporting DOI inquiries.
Develop and expand product analytics to enrich understanding of profitability.
Design analytical frameworks and efficient processes for day-to-day operations.
Openly is rebuilding insurance from the ground up, re-envisioning every aspect of the customer experience for home insurance. The company is a rapidly growing team of exceptional, curious, empathetic people spanning technology, data science, product, marketing, sales, service, claims, and finance, committed to diversity, equity, and inclusion.