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  • Medicaid Health Plans: Ensuring Appropriate Rates in an Era of Rapid Expansion
    Medicaid Health Plans: Ensuring Appropriate Rates in an Era of Rapid Expansion AHIP commissioned ... governance ;Government-funded healthcare ;Health care costs ;Medicaid ;Public finance ;Rate regulation ...

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    • Authors: Society of Actuaries
    • Date: Jan 2014
    • Competency: External Forces & Industry Knowledge; Professional Values; Strategic Insight and Integration
    • Topics: Actuarial Profession>Best practices; Actuarial Profession>Code of Conduct; Actuarial Profession>Ethics; Actuarial Profession>Standards of practice; Enterprise Risk Management>Compliance; Enterprise Risk Management>Financial management; Enterprise Risk Management>Governance
  • ERM Opportunities for Health Practitioners
    will drive the level of commitment to ERM. The primary findings of this research project are 1. Health ... with specific expertise tied to the company’s primary risks. Actuaries have a broad set of skills that ...

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    • Authors: Max Rudolph
    • Date: May 2010
    • Competency: Communication; External Forces & Industry Knowledge>External forces and business performance; Leadership>Change management; Technical Skills & Analytical Problem Solving>Problem analysis and definition
    • Publication Name: Health Watch
    • Topics: Actuarial Profession>Alternative careers; Actuarial Profession>Best practices; Enterprise Risk Management; Enterprise Risk Management>Compliance
  • Getting Strategic About Risk Management: How Business Can Move Forward Through Greater Risk Awareness
    Getting Strategic About Risk Management: How Business Can Move Forward Through Greater Risk Awareness ... position.  The Patient Protection and Affordable Care Act is reshaping the health insurance market, as ...

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    • Authors: Lou DiSerafino
    • Date: Aug 2016
    • Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; External Forces & Industry Knowledge>Internal forces and business performance; Leadership>Influence; Leadership>Mentoring; Leadership>Professional network leverage; Leadership>Thought leadership; Professional Values>Practice expertise; Results-Oriented Solutions>Actionable recommendations; Results-Oriented Solutions>Assess decision effectiveness; Strategic Insight and Integration>Big picture view; Strategic Insight and Integration>Effective decision-making; Strategic Insight and Integration>Influence decisions; Strategic Insight and Integration>Strategy development; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
    • Topics: Actuarial Profession>Best practices; Enterprise Risk Management>Compliance; Enterprise Risk Management>Financial management; Enterprise Risk Management>Governance; Enterprise Risk Management>Operational risks; Enterprise Risk Management>Portfolio management - ERM; Enterprise Risk Management>Risk appetite; Enterprise Risk Management>Risk measurement - ERM; Enterprise Risk Management>Strategic risks; Finance & Investments>Risk measurement - Finance & Investments