Analyst, Actuarial - Medicaid

Industry: Private

Employment Type:- Full Time

Work Hours:-  8 Hours

Locations:- USA

Full Job Description:-

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. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

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Job Description

This Actuarial Analyst position is part of the Medicaid Actuarial Growth and Strategy team and primarily focuses on identifying savings opportunities for Aetna Medicaid's Long Term Services and Support (LTSS) unit cost and utilization to improve financial performance for all Medicaid LTSS markets. Work scope may expand beyond the LTSS products as needed to support the broader objectives of Aetna's Medicaid Line of Business.

This position's responsibilities include:

  • Conduct LTSS utilization and unit cost benchmark analytics for all Medicaid markets.
  • Coordinate with the Aetna Medicaid Market actuaries to help identify drivers for high trends or deviation from state pricing expectation.
  • Seek and incorporate Market actuaries' feedback on analytics and generate action items to help improve performance.
  • Identify outliers in experience for potential savings opportunity.

Required Qualifications

  • Successful completion of at least 1 Society of Actuaries Exams
  • Experience with Microsoft Office suite; proficiency in Excel

Preferred Qualifications

  • Actuarial Internship experience
  • Experience with SQL or other programming language

Education

  • Bachelor's Degree in Actuarial Science or Math or Finance related fields

Analyst, Actuarial - Medicaid

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