Description
We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.
Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity by leading actuarial forecasting with sound practices to meet the business needs and ensure reasonable actuarial projections.
Primary Responsibilities
- Lead budget and forecast storytelling for the Medicaid business.
- Oversee forecast model development and improvement, and support plan actuaries in understanding forecast projections.
- Drive forecast related analysis including development of key assumptions, evaluation of financial experience and trend drivers.
- Review budget and forecast from a business perspective and ensure sound actuarial projections.
- Identify and support process improvement through automation and process simplification; assure timely and accurate deliverables.
- Manage high visibility and complex projects. Allocate and align resources.
Secondary Responsibilities
- Support trend storytelling and prospective trend development for the Medicaid business.
- Track and normalize trends across a very diverse Medicaid footprint.
- Drill into drivers of trend to support managed care savings development and rate advocacy.
- Provide medical expense review support.
- Analyze program changes based on State-directed and internal benefit design changes.
- Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same.
- Coach, mentor and provide feedback to employees in development of technical skills or subject matter expertise.
Requirements
- Bachelor’s Degree along with 10+ years working experience
- Must be an ASA or FSA
- Strong Technical Skills Required (SQL, Python, and Power BI)
- Proven track record of driving for results with multi-functional teams
Preferred Qualifications
- Prior Commercial, Medicare or Medicaid experience
Benefits
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.