8 actuary medicaid trend analytics and data management jobs found

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The National Security Directorate (NSD) drives science-based, mission-focused solutions to take on complex,?real-world?threats to our nation and the world. The Emerging Threats and Technologies Division, part of the National Security Directorate, consists of over 400 scientists, engineers, and analysts with backgrounds in cyber, nuclear, intelligence, policy, data science, and other fields. We work in interdisciplinary...

Company : Highmark Inc. Job Description : JOB SUMMARY This job is responsible for developing plans and managing activities in support of Risk Adjustment and Quality/HEDIS. Directs the daily activities of direct reports supporting Risk Adjustment Coding and Quality/HEDIS. Assesses viability of current direction/projects/operations and recommends strategies and tactics to satisfy current and future business needs. Actively seeks and identifies opportunities for improvement. Implements strategic and tactical improvements to the Risk Adjustment Coding and Quality/HEDIS processes. Manages information that will ensure accurate and efficient projects. Responsible for working with appropriate departments in the areas of risk adjustment, compliance, process improvement and member/provider satisfaction for all product lines. Recommend and/or implements process improvements related to the potential of quality medical care and service. Serves as a resource regarding government...

Job Summary The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize global quality system processes across a global quality organization. This role is instrumental in ensuring that quality operations are efficient, compliant, and aligned with strategic business goals. Job Description Operational Excellence Lead continuous improvement initiatives across global quality to enhance efficiency, effectiveness, and compliance. Identify and implement best practices, metrics, and tools to drive performance and accountability. Facilitate cross-functional collaboration to streamline and optimize end-to-end workflows, as well as enhance overall operational alignment. Ensure effective change management strategies are applied to drive successful implementation and adoption of operational initiatives. Risk Management Develop and maintain a proactive...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The Energy and Environment Directorate?delivers?science and technology solutions for the nation's biggest energy and environmental challenges. Our more than 1,700 staff support the Department of Energy (DOE), delivering on key DOE mission areas including: modernizing our nation's power grid to maintain a reliable, affordable, secure, and resilient electricity delivery infrastructure; research, development, validation,...

Overview At PNNL, our core capabilities are divided among major departments that we refer to as Directorates within the Lab, focused on a specific area of scientific research or other function, with its own leadership team and dedicated budget. Our Science & Technology directorates include National Security, Earth and Biological Sciences, Physical and Computational Sciences, and Energy and Environment. In addition, we have an Environmental Molecular Sciences Laboratory, a Department of Energy, Office of Science user facility housed on the PNNL campus. The?Energy and Environment Directorate?delivers?science and technology solutions for the nation's biggest energy and environmental challenges. Our more than 1,700 staff support the Department of Energy (DOE), delivering on key DOE mission areas including: modernizing our nation's power grid to maintain a reliable, affordable, secure, and resilient electricity delivery infrastructure; research, development, validation,...

Overview PNNL's Human Resources organization is comprised of over 100 committed professionals working to advance the interests of the lab and support scientific discovery and excellence. HR is engaged in a transformational journey to help PNNL meet its talent acquisition and retention goals through innovative benefits, compensation, learning, and workforce programs. We are on a mission to find a Talent Sourcer to join our Talent Acquisition team! Reporting to the Recruiting Team Leader, the Talent Sourcer is responsible for identifying, engaging, and attracting top technical and specialized talent to support PNNL's mission. In this position, you will source and interact with potential candidates, build and maintain proactive talent pipelines, conduct initial candidate screenings, set up interviews as applicable, manage the candidate database and track conversion metrics. The Talent Sourcer partners closely with recruiters and hiring leaders in the laboratory. They...

Overview PNNL's Human Resources organization is comprised of over 100 plus committed professionals working to advance the interests of the lab and support scientific discovery and excellence. HR is engaged in a transformational journey to help PNNL meet its talent acquisition and retention goals through innovative benefits, compensation, learning, and workforce programs. Responsibilities Development, implement, and administration of compensation and benefit programs to attract, reward, and retain top talent. Participates in managing Laboratory compensation programs with emphasis on base salary, variable compensation, and special projects. Collaborates with multiple functional areas within HR and with managers and employees across the Laboratory to gain in-depth knowledge of the business, identify emerging issues, and provide business-focused solutions. Develops a broad range of market intelligence for emerging capabilities required by line...

Job Description This role is based remotely but if you live within a 50-mile radius of [Austin, Detroit, Milford or Mountain View], you are expected to report to that location three times a week, at minimum. The Role As a BI Engineer within the MAS Marketing Insights & Data Democratization team, you will design, develop, and maintain scalable business intelligence solutions that power media performance insights across GM's marketing ecosystem. Your work will directly enable media optimization, campaign measurement, and cross-channel attribution by transforming complex data into actionable intelligence. You will collaborate with Media One, MarTech, EDAI, and external partners (Google, Meta, Amazon) to build and enhance dashboards, reporting frameworks, and data pipelines that support standardized and ad hoc media analytics. What You'll Do Lead development and automation of Power BI dashboards for media performance across channels (Display, Search,...