CVS Health
Lead Director - Actuarial (Medicaid)
CVS Health, Hartford, Connecticut, us, 06112
CVS Health Lead Director - Actuarial (Medicaid) Hartford, Connecticut Apply Now
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs and pricing that produces returns to shareholders commensurate with the risks undertaken.A Brief OverviewThe primary responsibility of this director role will be leading Actuarial market support for the Southeast region’s Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within this role, you’ll:Lead/manage Plan and analytical support to achieve operating plan goals.Influence business decisions and make sound, unbiased reports on financial results.Lead Actuarial interactions with Market leads – CEO, CFO, CMO, and COO.Interact and drive relationships with external partners, including the MCO Actuarial Coalition and the State’s Actuarial Consulting firm.Provide oversight and guidance related to rate negotiations & renewals with respective internal and external constituents. [Travel may be required].Develop recommendations and set forecasts in collaboration with finance and business partners.Use strong critical thinking skills to creatively solve complex business problems.Assure compliance with Medicaid contract and supplemental analysis requests from market leads or the State.Influence/motivate resources within and outside of direct control to complete projects.Review assumptions developed by staff from a business perspective and influence senior management.Manage high visibility and complex projects. Allocate and align resources.Coach, mentor and provide feedback to employees in the development of technical skills or subject matter expertise.Review reserve recommendations and communicate to health plan leaders.Required QualificationsBachelor’s Degree along with 10+ years relevant actuarial work experience.Membership in the American Academy of Actuaries is required (ASA or FSA).Strong Technical Skills Required (SAS, SQL, Excel).Proven track record of driving for results with multi-functional teams.Preferred Qualifications:Pay RangeThe typical pay range for this role is: $100,000.00 - $231,540.00.This pay range represents the base hourly rate or base annual full-time 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.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits.For more detailed information on available benefits, please visit
Benefits | CVS Health .We anticipate the application window for this opening will close on: 11/01/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer.
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs and pricing that produces returns to shareholders commensurate with the risks undertaken.A Brief OverviewThe primary responsibility of this director role will be leading Actuarial market support for the Southeast region’s Medicaid contracts (KY, LA, OHRISE, WV, & VA). Within this role, you’ll:Lead/manage Plan and analytical support to achieve operating plan goals.Influence business decisions and make sound, unbiased reports on financial results.Lead Actuarial interactions with Market leads – CEO, CFO, CMO, and COO.Interact and drive relationships with external partners, including the MCO Actuarial Coalition and the State’s Actuarial Consulting firm.Provide oversight and guidance related to rate negotiations & renewals with respective internal and external constituents. [Travel may be required].Develop recommendations and set forecasts in collaboration with finance and business partners.Use strong critical thinking skills to creatively solve complex business problems.Assure compliance with Medicaid contract and supplemental analysis requests from market leads or the State.Influence/motivate resources within and outside of direct control to complete projects.Review assumptions developed by staff from a business perspective and influence senior management.Manage high visibility and complex projects. Allocate and align resources.Coach, mentor and provide feedback to employees in the development of technical skills or subject matter expertise.Review reserve recommendations and communicate to health plan leaders.Required QualificationsBachelor’s Degree along with 10+ years relevant actuarial work experience.Membership in the American Academy of Actuaries is required (ASA or FSA).Strong Technical Skills Required (SAS, SQL, Excel).Proven track record of driving for results with multi-functional teams.Preferred Qualifications:Pay RangeThe typical pay range for this role is: $100,000.00 - $231,540.00.This pay range represents the base hourly rate or base annual full-time 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.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits.For more detailed information on available benefits, please visit
Benefits | CVS Health .We anticipate the application window for this opening will close on: 11/01/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer.
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