job Description
This is a work-from-home opportunity anywhere in the U.S.A.
Join a high-performing actuarial team supporting CVS
Health and Aetna’s exciting and growing government
services pharmacy business.
Primary focus is MAPD and DSNP individual bid development.
The colleague will:
• Take full ownership of assigned projects, manage to overall deadlines, and complete tasks independently while collaborating with others.
• Effectively communicate and collaborate across teams.
• Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others.
• Anticipate and recognize matters that materially affect financial results and develop sound, unbiased recommendations on how to resolve these matters.
• Leverage strong technical skills and critical thinking to design and achieve business solutions.
• Mentor Junior Actuaries
• Assist in development of Individual Part D Bids
collaborating closely with Medicare Advantage (medical)
actuaries, Product, Clinical and business leaders.
Individuals must interpret Part D performance drivers and
ensure compliance with CMS bid requirements
• Enhance existing models or create new models to
streamline processes or improve accuracy of projections.
• Develop assumptions and methodology for Part D bids, including documentation defense of methods and
results.
• Review and interpret models and make recommendations for planning, forecasting, and reporting process.
#AetnaActuary
Required Qualifications
Required:
– Bachelor’s degree along with 5+ years related experience.
– Must be an ASA or FSA and is typically a member of the American Academy of Actuaries (or other accredited actuarial organization) able to sign state rate filings and other required actuarial certifications.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions 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, pregnancy, or religious belief that prevents them from being vaccinated.
Preferred Qualifications
Prior pharmacy, Part D, Medicare or Medicaid experience
is preferred but not required.
Education
Bachelor’s degree or equivalent experience.
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.
Job ID: 32443
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