Sr Actuary - Medicare Advantage

Job Description
This can be a remote opportunity anywhere in the U.S.A.

Join a high-performing actuarial team supporting CVS Health and Aetnas Individual Medicare Advantage business. This position will lead a team in the development of national medical expense assumptions for pricing including utilization trend, unit cost, COVID impact, stayer/leaver analysis, and more. Applicants are expected to protect Aetnas financial integrity, collaborate with business partners to provide sound risk management, anticipate matters that materially impact financial results, and make unbiased recommendations.

Leadership & Management of Resources
- Successfully manage projects and initiatives to conclusion.
- Exercise decision making within scope of authority.
- May have responsibility for performance management, compensation related decisions and staffing.
- Ensure access to appropriate tools, resources and training.

Product & Business Knowledge
- Demonstrate understanding of existing data sources. Proactively seek out new data sources to support/challenge existing assumptions and recommend alternatives/improvements as necessary.
- Demonstrate understanding of interdepartmental products, programs, processes and policies; research problems and issues and suggest resolution.
- Demonstrate understanding of regulatory compliance issues for Medicare Advantage products.

Risk Analysis & Management
- Demonstrate in-depth understanding of specific pricing risks. Share results of analysis with management.
- Compile and analyze filing data. Prepare and submit necessary exhibits for regulatory filings.
- Oversee technical support and analysis for planning, forecasting and reporting process. Make recommendations to management.

Technical Proficiency
- Develop creative technical solutions to a variety of problems. Stay apprised of technical innovations as potential solutions for actuarial issues and concerns.
- Oversee/manage the development and implementation of tools and models.
- Prioritize changes and enhancements to processes, tools and systems. Coordinate staffing support for resource allocation.

Communication, Collaboration & Consultation
- Represent actuarial /serve as project team lead on interdepartmental teams to shape process and policy.
- Address complex inquiries. Prepare communications for internal and external constituents. Maintain accurate documentation and manage training and user support for tools and processes.

#AetnaActuary

Pay Range
The typical pay range for this role is:
Minimum: 75,400
Maximum: 158,300

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Bachelors degree along with 5+ years of experience
FSA or ASA (Society of Actuaries) required
MAAA (American Academy of Actuaries)
government experience desired, Part C preferred

COVID Requirements

COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Medicare experience preferred.

Education
Bachelors degree along with 5+ years related work experience.

Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.