Sr Analyst, Actuarial (Adp)

CVS HealthHartford, CT
Onsite

About The Position

Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role will be to perform pricing and analytic work in support of Medicare bid filings and the department mission to protect Aetna's financial integrity, collaborate with business partners to provide sound risk management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters.

Requirements

  • 2+ years of actuarial experience.
  • Progression toward Associateship in the Society of Actuaries (ASA), including at least two actuarial exams passed.
  • Strong analytical and problem-solving skills.
  • Experience working with complex data and developing business insights.
  • Ability to communicate technical findings and recommendations effectively.
  • Bachelor's degree or equivalent experience.

Nice To Haves

  • Medicare Advantage experience.
  • Experience with pricing, forecasting, trend analysis, or regulatory filings.
  • Experience developing actuarial models and analytical tools.
  • Familiarity with database and reporting applications.

Responsibilities

  • Support Medicare bid filing development, analysis, and submission activities.
  • Compile and analyze filing data and prepare exhibits for regulatory filings.
  • Develop and recommend pricing and trend assumptions for Medicare Advantage products and services.
  • Provide technical support and analysis for planning, forecasting, and reporting processes.
  • Analyze financial results and communicate business impacts and recommendations.
  • Work with leadership to understand business risks and share analytical findings with management.
  • Translate data into actuarial assumptions and actionable business insights.
  • Support ongoing evaluation and enhancement of pricing methodologies and business processes.
  • Develop creative technical solutions to a variety of actuarial and business problems.
  • Build, maintain, and enhance actuarial tools and models.
  • Recommend and implement process, tool, and system enhancements to maximize efficiency.
  • Develop business requirements and specifications for actuarial tools and processes.
  • Test and support changes to actuarial models, tools, and systems.
  • Identify opportunities for automation and process improvement.
  • Manage personal resources effectively to meet project timelines and deliverables.
  • Provide input into decision-making processes and exercise sound judgment within scope of responsibility.
  • Support and mentor less experienced team members.
  • Participate in training and development activities.
  • Represent the actuarial team in cross-functional workgroups.
  • Respond to complex inquiries from internal stakeholders.
  • Create and maintain documentation, process materials, and training resources.
  • Collaborate with internal and external business partners to support departmental objectives.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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