Executive Director - Medicare Actuarial (SNP)

CVS Health • Chicago, IL

5d

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary The individual in this role will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE/FIDE Integrated, and Chronic plans. The SNP population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into this market. This position provides a driven leader the opportunity to get into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape the role and team by your vision.

Requirements

• Bachelor's degree
• 10+ years of actuarial or related experience
• ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
• Proven project management skills including experience in development and management of multiple projects
• Prior people leader experience
• Financial acumen and experience building financial models
• Excellent communication skills (both verbally and through written presentation materials or emails)
• Relationship builder with the ability to partner across segments and functional areas
• Ability to work well in a multidisciplinary team environment, as well as independently
• Demonstrated proficiency with MS Office applications
• Creativity and intellectual curiosity

Nice To Haves

• Previous Medicare experience
• Previous work with Medicare/Medicaid regulators
• FSA designation

Responsibilities

• Developing a strong strategic partnership with the business leadership of the Medicare Duals 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 SNP segment, across all Aetna geographies.
• Maintaining relationships with and incorporating appropriate insights from associated Medicaid actuaries into integrated product pricing.
• Establish best practices, ensure consistency, and provide guidance to facilitate achievement of financial goals.
• Leading and developing a team of actuaries responsible for supporting the IVL MA SNP business, local market partners, and Medicaid partners to provide a best-in-class bid product, with emphasis on compliance with changing regulations, compliant and accurate SNP bid certification, and sound risk management recommendations.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees