Senior Actuary - Medicare Advantage-SNP

at  CVS Health

POSITION SUMMARY:

The individual in this role will serve as the subject matter expert for Aetna’s Medicare Advantage Dual-, Chronic-, and Institutional- Special Needs Plans (SNP) business.
The Dual Eligible, Chronically-Ill, and Institutionalized populations present a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into these markets. This position provides an ambitious actuary the opportunity to get into a growth story early, and to shape the role in your own manner.
Responsibilities include:
Develop a strong strategic partnership with the business leadership of the Medicare Special Needs Plans (SNP) segment, by collaborating on business initiatives, recognizing and anticipating matters that will materially impact financial outcomes, providing sound risk-management advice, and communicating all of the above effectively.
Coordinating the analytics, reporting, and pricing/bidding best practices of Aetna’s Special Needs Plans (SNP) segment, across all Aetna geographies, Medicare Advantage market actuaries, and Medicare-Medicaid Plan actuaries. Establish best practices, ensure consistency, and provide guidance to the broader Individual Medicare actuarial pricing team.

REQUIRED QUALIFICATIONS:

Bachelor’s degree along with 5+ years of actuarial experience
ASA or FSA required
Healthcare background
Strong technical skills

EDUCATION:

Bachelor’s degree or equivalent

Please refer the Job description for details