Manager, Actuarial - Medicare Network, CVS Health

Manager, Actuarial - Medicare Network

CVS Health

Location:

United States, Hartford

Category:

Insurance

Contract Type:

Employment contract

Salary:

92700.00 - 203940.00 USD / Year

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Job Description:

Aetna is recruiting for a Manager, Actuarial - Medicare Network who will support actions on Medicare Network Insights for this critical line of business. This position is entirely Medicare focused, surrounding delivery on our overarching Medicare network strategy, and includes new geography target network development as well as developing networks to meet unique Medicare member needs.

Job Responsibility:

Achieving profitability and membership goals with business partners by contributing to strategies and executing them
Participate in state specific RFP conversations
Identifying core issues and leveraging colleagues/network to solve them. Navigates several data points, possibly contradictory, and rationalizes recommended course of action, recognizing risks and opportunities. Works with different areas to understand those data points. Recommends logical actions based on data and business acumen that weighs the pros and cons of calculated risks
Forming own opinions based in logic and business sense and also having the flexibility to adjust as new ideas are presented
Ability for divergent thinking for brainstorming and connecting many ideas and ability for convergent thinking to ensure a recommended course of action and execution
Building and facilitating a team environment of trust to foster collaboration and teamwork
Influencing resources within and outside of direct control to complete projects
Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve

Requirements:

3+ years actuarial and/or health insurance experience
Knowledge of Medicare products
Actuarial exams passed, ASA preferred
Advanced Excel application design skills, with ability to pull/manipulate data using SQL
Adept at execution and delivery (planning, delivering, and supporting) skills
Experience working in a highly matrixed environment
Strong experiences in growth mindset (agility and developing yourself and others) skills
Demonstrated a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias

What we offer:

Medical, dental, and vision benefits
401(k) retirement savings plan
Employee Stock Purchase Plan
Fully-paid term life insurance plan
Short-term and long-term disability benefits
Numerous well-being programs
Education assistance
Free development courses
CVS store discount
Discount programs with participating partners
Paid Time Off (PTO) or vacation pay
Paid holidays

Additional Information:

Job Posted:

March 19, 2025

Expiration:

April 18, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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