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CVS Health · 4 hours ago

Executive Director - Medicare Actuarial (SNP)

Hartford, CT

Full-time

Hybrid

Director/Executive

$175K/yr - $335K/yr

10+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Executive Director - Medicare Actuarial (SNP) will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans, driving strategic decisions and leading a team to achieve financial goals in this growing market.

Health CareMedicalPharmaceuticalRetailSales

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

Qualification

Actuarial experienceASAFSA designationFinancial modelingMedicare experienceProject managementMS Office proficiencyCommunication skillsRelationship buildingTeam collaborationCreativity

Required

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

Preferred

Previous Medicare experience

Previous work with Medicare/Medicaid regulators

FSA designation

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.