Senior Actuary, CVS Health

CVS Health

Location:
United States

Category:
Insurance

Contract Type:
Employment contract

Salary:

130295.00 - 260590.00 USD / Year

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Job Description:

Aetna is recruiting a Senior Actuary on the Medicaid Actuarial Growth and Strategy team. This position will be the point person for the Medicaid Actuarial team's involvement with Revenue Integrity, a crucial revenue-generating initiative for the Medicaid Business Unit.

Job Responsibility:

Tracking and providing updates to Medicaid Market and Executive leaders on the performance of revenue integrity initiatives
reviewing emerging results to identify potential risks and opportunities within revenue integrity initiatives
working with other internal teams to ideate on and size new revenue integrity opportunities
working with Informatics and supporting market actuaries in the reconciliation of State actuary provided risk adjustment and internal evaluations

Requirements:

Bachelor's degree along with 5+ years of actuarial or relatable experience
ASA or FSA credential required
Prior healthcare experience
Excellent communication skills
Strong technical skills
Excel (SAS or SQL)

Nice to have:

Prior experience in Medicaid
experience with project management
understanding of Risk Adjustment methodology (in any line of business)
diverse experiences that demonstrate an ability to learn quickly
adaptability and ability to prioritize effectively

What we offer:

Affordable medical plan options
401(k) plan including matching company contributions
employee stock purchase plan
no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
flexible work schedules
family leave
dependent care resources
colleague assistance programs
tuition assistance
retiree medical access

Additional Information:

Job Posted:
May 12, 2025

Expiration:
July 07, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Actuary