Senior Actuary - Middle Market Northeast

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven 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.

This is a dual role that serves as a member of the Northeast team supporting Commercial Middle Market (Key and Select accounts) while also supporting the Competitive Intelligence function, among other actuarial functions.

Northeast Commercial Middle Market

• Work closely with Market Actuaries on Large Group Rate Review processes, including factor studies, strategic initiatives, and rate actions
• Maintain compliance of actuarial functions with state and federal regulations, including involvement in Large Group Rate Filings as applicable
• Participate in Forecasting and Budget discussions, including coordination of Northeast collaboration with stakeholders (Finance, Leadership, Underwriting)
• Ensure market-specific requests and deliverables are completed in a timely and responsive manner
• Cultivate continuous improvement to drive accuracy and innovation

Commercial Large Group Competitive Intelligence

• Create and support tools to monitor Aetna's rate position across national markets, analyzing business segments, geography, products, funding types, and rating methodologies
• Identify new data sources and develop innovative methods for gathering competitive intelligence to support Large Group segment's growth and margin strategies
• Coordinate projects and build relationships with Data Science teams to extract insights from new and existing processes and data sources
• Collaborate with Underwriting, Finance, and other stakeholders to devise, implement, and monitor strategies based on competitive intelligence findings
• Develop subject matter expertise in competitive intelligence tools and dashboards, presenting data and insights to Underwriting and Actuarial leadership
• Provide national and regional competitive intelligence to functional rate review teams to support decision-making on key actuarial assumptions, including trend, pooling charges, and administrative expenses
• Identify and implement improvements to existing competitive intelligence processes to enhance accuracy and efficiency

Keys to Success

• Demonstrate understanding of complex actuarial functions as well as the market specific dynamics including the competitive landscape
• Build and facilitate creation of initiatives to drive down cost structure
• Take full ownership of complex assignments and act as the trusted lead for the market
• Communicate actuarial findings to business partners
• Anticipate the market’s needs and be able to influence and further recommend course of action as you see fit
• Demonstrate leadership that fosters and supports a strong team of individual contributors
• Support actuarial and underwriting functions by applying quantitative skills and analytical methods

Required Qualifications

• Bachelor's degree along with 5+ years of experience
• ASA (Associate of the Society of Actuaries) designation or FSA
• Strong technical, analytical, and financial skills
• Excellent verbal and written communication skills

Preferred Qualifications

• FSA (Fellow of the Society of Actuaries) or actively working towards FSA designation
• Ability to thrive in a constantly evolving environment with competing priorities and deadlines
• Collaborate with key stakeholders to formulate recommendations and course of actions

Education

• Bachelor's degree

Pay Range

The typical pay range for this role is:

$118,450.00 - $260,590.00

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.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

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