Senior Analyst, Actuarial - Medicare Advantage

Job Description
Position can be office-based or full-time work from home in any state.

Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business.

The primary responsibility of this role will be to perform pricing and analytic work in support of a department mission to protect Aetna's financial integrity, collaborate with business partners to provide sound risk management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters.

Leadership:

• Manage personal and team resources efficiently to complete projects.
• Exhibit innovative use of resources.
• Provide input into decision making process.
• Exercise decision making within scope of authority. - Facilitate training and development opportunities.

Product & Business Knowledge:

• Demonstrate understanding of existing data sources and translate into appropriate assumptions and functional business information.
• Identify/suggest alternatives/improvements.
• Demonstrate understanding of intradepartmental products, programs, processes and policies; identify and research problems and issues.
• Demonstrate understanding of regulatory compliance issues.

Risk Analysis & Management:

• Work with supervisor to understand the nature of specific risks.
• Share results of analysis with management.
• Compile and analyze filing data.
• Prepare and submit necessary exhibits for regulatory filings.

Reserve Analysis:

• Analyze claim data and monitor reserve levels for appropriateness.
• Demonstrate understanding of actuarial reserving techniques and issues.
• Provide technical support and analysis for planning, forecasting and reporting process.
• Make recommendations to supervisor.
• Develop and recommend pricing and trend for product and/or services.
• Understand and communicate financial impact to supervisor.

Technical Proficiency:

• Develop creative technical solutions to a variety of problems.
• Demonstrate spreadsheet proficiency and familiarity with database and web-based applications.
• Develop and implement appropriate tools and models.
• Recommend, implement and oversee maintenance development of enhancements to processes, tools and systems.
• Make suggestions to maximize efficiency.
• Develop and finalize business requirements and/or specifications for processes, tools, and systems.
• Test and oversee changes to processes, tools and systems.
  Communication, Collaboration & Consultation:
• Represent area in multi-functional workgroups.
• Respond to complex inquiries from internal constituents. - Create and maintain accurate documentation and develop training materials for tools and processes. With limited direction, collaborate with internal and external constituents.

#AetnaActuary

Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 100,000

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

• Minimum of 2 - 3 years actuarial experience.
• Should be at/near associateship in the Society of Actuaries (ASA).
• Strong communication skills and excellent technical ability

Preferred Qualifications

• Medicare experience is desired (not required).

Education

• Bachelor's degree or equivalent 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.