Senior Actuary - Medicaid Network
Senior Actuary - Medicaid Network
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$ 118450 - 260590
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven 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
Aetna is recruiting for a Senior Actuary Medicaid Network who will be support the actions on Medicaid Network Insights 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.
You will make an impact by:
- Achieving profitability and membership goals with business partners by contributing to strategies and executing them.
- 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 openmindedness 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 . 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 consumercentric workforce that delivers on our purpose and reflects the communities in which we work live and serve.
Required Qualifications
The candidate will have a strong work ethic be a selfstarter and be able to be highly productive in a dynamic collaborative environment. This position offers broad exposure to many aspects of the companys business as well as significant interaction with Medicaid business leaders. The candidate will be expected to have the following key attributes:
- 5 years actuarial and/or health insurance experience.
- Knowledge of Medicaid products.
- ASA or FSA required
- Advanced Excel application design skills with ability to pull/manipulate data using SQL.
- Adept at 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.
Education
Bachelors degree or higher in mathematics actuarial science or closely related field.
Pay Range
The typical pay range for this role is:
$118450.00 $260590.00
This pay range represents the base hourly rate or base annual fulltime salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience education geography and other relevant factors. This position is eligible for a CVS Health bonus commission or shortterm incentive program in addition to the base pay range listed above. This position also includes an award target in the companys equity award program.
Our people fuel our future. Our teams reflect the customers patients members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages our great benefits include:
Affordable medical plan options a 401(k) plan (including matching company contributions) and an employee stock purchase plan.
Nocost 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.
For more information visit anticipate the application window for this opening will close on: 07/11/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Required Experience:
Senior IC
Employment Type
Full-Time
