Lead Director - Actuarial (Medicaid) Job at CVS Health (Hartford)

Director, Value-Based Analytics & Actuarial Strategy

SpectraMedix is seeking an accomplished professional with an actuarial or advanc...

Location

United States , NJ

Salary:

Not provided

SpectraMedix

Expiration Date

Until further notice

Requirements

Bachelor’s or Master’s degree in Actuarial Science, Statistics, Mathematics, Health Economics, or related field
12+ years of experience in actuarial, financial, or value-based analytics roles within a consulting firm, health plan, ACO, or healthcare analytics organization
Proven understanding of value-based contracting, risk adjustment, quality metrics, and payment reconciliation processes
Strong data literacy—experience working with healthcare data (claims, cost, quality, utilization) and proficiency with analytical tools (SQL, R, Python, Excel, Power BI, etc.)
Excellent communication skills with the ability to engage payer and provider executives and translate complex analytics into actionable strategy
This role involves approximately 20–25% travel, so you should be comfortable with occasional work-related travel
Hands-on exposure to Cloud technologies, particularly Azure, AWS, and Databricks

Job Responsibility

Partner with health plans, ACOs, and health systems to design, evaluate, and enhance value-based care programs (e.g., shared savings, global capitation, incentive models)
Lead actuarial and financial analytics supporting contract modeling, risk adjustment, benchmarking, and performance measurement across multiple lines of business (Medicaid, Medicare, Commercial)
Translate analytical findings into strategic insights for clients—supporting contract development, performance improvement, and program optimization
Collaborate with internal teams (product, engineering, and client delivery) to shape product strategy and ensure that data-driven capabilities align with evolving market needs
Serve as a client-facing subject matter expert in value-based contracting, risk modeling, and performance analytics
Assist clients with defining their value-based strategy and defining an ROI
Contribute to business development activities by supporting client presentations, proposals, and thought leadership initiatives
Stay current with CMS, state Medicaid, and commercial VBP policy trends, including interoperability and quality measurement standards (HEDIS, eCQMs, DaVinci, MCP, etc.)
Be a strategic thought leader within the Company to help scale SpectraMedix into the leader in VBC software applications

What we offer

Competitive compensation, benefits, and professional growth opportunities

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Senior Software Engineer

We are seeking a Senior Software Engineer to help design, build, and scale backe...

Location

Mexico

Salary:

Not provided

Tech Holding

Expiration Date

Until further notice

Requirements

6+ years of professional software engineering experience building and operating production systems at scale
Strong backend engineering experience with Java, Python, or similar object-oriented programming languages
Experience designing and building distributed systems, APIs, and scalable backend architectures
Strong understanding of software design patterns, system reliability, and performance optimization
Experience working with cloud platforms such as AWS, GCP, or Azure
Experience with CI/CD pipelines, automated deployments, and modern development workflows
Strong understanding of observability practices including logging, monitoring, and tracing
Experience working within agile or hybrid software development environments
Ability to mentor engineers and contribute to technical leadership initiatives
Strong communication skills with the ability to explain technical concepts to both technical and non-technical stakeholders

Job Responsibility

Design, develop, and maintain scalable backend services and platform capabilities
Write clean, maintainable, and performant production-grade code
Contribute to architectural decisions and help evolve platform and system design
Build internal tooling and automation to improve engineering efficiency and developer workflows
Participate in code reviews and maintain high engineering quality standards
Help define and improve best practices around testing, observability, CI/CD, and software delivery
Collaborate closely with product managers, designers, and cross-functional engineering teams
Troubleshoot production issues and improve platform reliability and operational performance
Mentor and support less experienced engineers through technical guidance and coaching
Advocate for pragmatic technical solutions that balance scalability, maintainability, and delivery speed

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The Business Intelligence Director will partner with in-venue operations at Ball...

Location

United States , Denver

Salary:

135000.00 - 145000.00 USD / Year

Legends Global

Expiration Date

Until further notice

Requirements

Prior experience communicating statistical findings and/or complex ideas to non-technical audiences
Prior experience using Excel, SQL, R, Python, and/or PowerBI for analysis and visualization
Able to share examples of using data to solve complex problems
Able to simultaneously manage a high level of detail across multiple projects
Able to manage stakeholders and tasks independently, managing time effectively
Able to maintain customer confidentiality and work well within a team environment
Self-starter who is eager to learn the business and drive proactive insights
Excellent interpersonal, verbal and written communication skills
Between 3-6 years of experience in quantitative, analytical consulting, and/or client-facing businesses, as well as experience interacting with organizational leadership
Master's Degree preferred in business analytics, statistics, economics, or a related field

Job Responsibility

Provide strategic leadership and operational guidance for KSE transformation efforts
Collaborate with regional leadership to implement the strategic vision for business intelligence and insights
Deliver Insights business intelligence and analytics services to in-venue stakeholders
Develop specific venue knowledge
Leverage reporting standards and formats
Support monthly business and post-event reviews
Develop and deploy optimal pricing, product, placement, and promotion strategies
Communicate key guest insights and potential action items
Analyze and build solutions around variable labor and cost of sales management
Experiment, testing pivots and change initiatives

What we offer

bonus potential
medical insurance
dental insurance
vision insurance
life insurance
disability insurance
paid vacation
401k plan

Fulltime

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Our company is part of EDP, a global energy group present in around 30 markets w...

Location

Portugal , Santiago do Cacém

Salary:

Not provided

EDP

Expiration Date

June 11, 2026

Requirements

Bachelor's degree or, preferably, a Master's degree in Electrical and Computer Engineering, ideally with a specialization in the Energy field
Up to 2 years' experience (professional activity in Electrical Engineering)
Strong ability to work within a team and good interpersonal skills
Attention to detail, analytical thinking, and resilience are highly valued skills
Good computer skills (Windows) and proficiency in Office tools, particularly Outlook, Excel, Power BI, and Power Apps
Fluency in Portuguese and solid knowledge of English
Availability for occasional travel within the country
Integrate an on-call availability schedule

Job Responsibility

Supervise and monitor the performance of Medium Voltage (MV), Low Voltage (LV), and Public Lighting (PL) installations and equipment, adjusting maintenance policies as necessary
Apply procedures and techniques for the control and management of maintenance work orders
Ensure the implementation of maintenance plans and the restoration of service in MV, LV, and PL networks, in compliance with the company's policies, standards, and specifications
Contribute to the development of the Maintenance Plan and the Investment Plan and Budget
Collaborate on the technical evolution of network management applications for electricity distribution
Apply concepts and techniques for the analysis of electricity distribution networks
Perform mechanical calculations and develop projects for overhead Medium Voltage networks
Prepare requests and authorizations for live-line work or work in proximity to live equipment
Interact with various stakeholders (suppliers, clients, and service providers), ensuring effective resolution of incidents and problems

Fulltime

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As National Sales Admin Assistant, you'll play a key support role for our Nation...

Location

United Kingdom , Leeds

Salary:

Not provided

BSS

Expiration Date

Until further notice

Requirements

Communicates confidently with customers and colleagues
Is willing to learn and take initiative
Can work independently as well as part of a team

Job Responsibility

Managing and coordinating backorder reports across customers, branches, and suppliers
Supporting customers with admin queries including proof of delivery requests and invoice issues
Providing general support to the Key Accounts Team where needed

What we offer

Competitive salary
Development opportunity
Hands-on experience in project admin, account management, and commercial operations

Parttime

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Institutional Credit Management (ICM) is a first line of defense function (1LOD)...

Location

India , Mumbai

Salary:

Not provided

Citi

Expiration Date

Until further notice

Requirements

Minimum 3 -6 years of experience
A strong foundation in financial analysis, including basic knowledge in interpreting financial statements and identifying key risk indicators
Foundational understanding of financial modeling and valuation techniques
Foundational understanding of standard product documentation (ISDAs, credit/facility agreements, amongst others)
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
Bachelor's/University degree or equivalent experience

Job Responsibility

Maintain coverage of a low-to-medium complexity portfolio of obligors and author timely and thorough Annual and Quarterly review memos
Author low complexity Transaction memos
Build projection models
Monitor client portfolio by reading industry reports, analyzing financial filings, news, rating agencies' reports
Ensure consistence and accuracy on financial spreads and ratios throughout all monitoring memos
Build projection models under the close guidance of an Underwriter
Prepare accurate supporting documentation for internal credit ratings and classifications, utilizing appropriate internal models and analytical guidance
Keep written commentary concise and focused throughout all monitoring memos
Submit workflows in a timely manner and follow up with Risk or Underwriters for approval promptly
Develop and demonstrate basic understanding of internal policies and procedures

Fulltime

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Randstad Specialty Pharma, for a multinational company in the pharmaceutical fie...

Location

Italy , Latina

Salary:

34000.00 - 40000.00 EUR / Year

Randstad

Expiration Date

July 18, 2026

Requirements

A minimum of a Bachelors degree or equivalent in Chemical / Life Science required. An advanced degree preferred.
5+ years of related experience including at least one of the following: Quality Assurance, Quality Control, Analytical Testing, or IT, including experience working in pharmaceutical (preferably in Synthetic molecule) or other highly regulated industry.
Proven experience with digital lab systems like LIMS (preferably Labvantage), with key user or business admin roles being advantageous.
Strong communication and presentation skills.
Experience with HPLC, Dissolution and NIR is considered a plus.
Experience with connecting Instrument with LIMS is considered a plus.
Experience in participating in process improvement projects.

Job Responsibility

Drive harmonization process and create digital drafts for methods that are currently performed on paper worksheets.
Create and update Method execution templates in the LIMS system.
Support change-control impact assessments (when required)
Contribute to the design of master data for use in digital methods.
Coordinate validation of master data.
Create/update the technical documents as per Standardization (Harmonization) Process.
Manage updates to existing digital methods.
Provide training to operators on the newly deployed methods.
Act as the contact point for the lab in case of questions.
Assist in the setup and validation of LIMS - instrument interfaces.

Fulltime

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Account Executive, Enterprise (Tokyo, Japan)

We are looking for an Enterprise Account Executive who will play a critical role...

Location

Japan , Tokyo

Salary:

Not provided

Figma

Expiration Date

Until further notice

Requirements

Experience closing sales, over multiple years, for a software or SaaS business with an Enterprise book of customers (5000+ FTEs), selling to executives
Consistent performance meeting pipeline generation targets for net new business
Demonstrated experience successfully managing complex sales cycles (6 months+)
A sales methodology and process that creates value for customers

Job Responsibility

Create and manage a pipeline of Enterprise accounts to consistently meet or exceed quarterly and annual sales targets
Apply effective discovery and value-selling techniques to build and strengthen relationships with key decision-makers in both new and existing customers (5000+ FTEs)
Align with executives on business challenges and gain sponsorship for enterprise wide deployments for a suite of products, identifying where Figma’s roadmap and innovations fit in the long term
Conduct thorough analysis to create strategic account plans that outline company priorities and initiatives, multi-threading at an executive level to build on expansion opportunities
Manage a book of business by tiering accounts and initiating techniques to save contractions
Co-create with cross-functional partners to expertly position Figma, drive deals forward and ensure customer success
Leverage opportunities to advance executive level relationships through in-person meetings and networking opportunities

Fulltime

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Lead Director - Actuarial (Medicaid)

Job Description

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