Lead Director, Actuarial Cred – Medicaid

CVS Health•Atlanta, GA

2d•$144,200 - $288,400•Onsite

About The Position

Aetna is recruiting for a Lead Director, Actuarial - Medicaid who will be responsible for understanding and driving action on Network Insights and curating support for this important line of business. This is an entirely Medicaid focused role surrounding delivering on our overarching Medicaid network strategy; it is inclusive of target network development in new geographies, and development of networks to support unique Medicaid member needs.

Requirements

Bachelor's degree along with 8+ years of actuarial and/or health insurance experience.
ASA or FSA required.
6+ years of advanced Microsoft Office experience.
Strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment.
Broad experience with all actuarial functions.
Adept at execution and delivery (planning, delivering, and supporting) skills.
Experience working in a highly matrixed environment.
Strong experiences in growth mindset (agility and developing yourself and others) skills.
Demonstrated a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

Nice To Haves

Experience leading and influencing others.
Network background is highly desired.
Medicaid experience.
Leadership experience with the ability to influence.
Network background.
Ability to work independently.

Responsibilities

Achieving profitability and membership goals with business partners by contributing to strategies and executing them.
Enabling Network Market leaders to drive Network Performance analysis at a market level– data cubes, HCIC (health care information center), curation of a network, and overall provider performance.
Participate in state specific RFP conversations.
Identifying core issues and leveraging colleagues/network to solve them. Navigates several data points, possibly contradictory, and rationalizes recommended course of action, recognizing risks and opportunities. Works with different areas to understand those data points. Recommends logical actions based on data and business acumen that weighs the pros and cons of calculated risks.
Forming own opinions based in logic and business sense and also having the flexibility to adjust as new ideas are presented, ie. shows a great balance of confidence, open-mindedness and modesty.
Ability for divergent thinking for brainstorming and connecting many ideas and ability for convergent thinking to ensure a recommended course of action and execution. When ideas do not work, have the perseverance to move forward and inspire their team to adjust.
Building and facilitating a team environment of trust to foster collaboration and teamwork. Develops and empowers sharing ideas across the organization.
Influencing resources within and outside of direct control to complete projects.
Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve.