TELECOMMUTE – US National
Title:Senior Actuarial Consultant (Cred) Medicare Advantage
Job Type:WFH Flexible
Position can be officebased or fulltime work from home in any state.
Join a highperforming 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.
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.
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.
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.
Develop creative technical solutions to a variety of problems.
Demonstrate spreadsheet proficiency and familiarity with database and webbased 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 multifunctional 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.
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.
COVID19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief t…
Accounting & Finance , Business Development , Insurance , Risk Management , Medical & Health