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.Position Summary: Aetna Resources LLC, a CVS Health company, is hiring for the following role in Woonsocket, RI: Lead Actuarial Director to Analyze statistical data for medical plan rates to develop pricing and use probability to forecast risk and liability for payment of future benefits. Duties include: responsible for annual commercial fully insured large group pricing review, including setting the manual rate and trend and expense factor analysis for assigned geographies and commercial business areas; develop pricing strategies to drive profitable growth in conjunction with experience analysis reviews for small group, individual plan, and large group pricing discussions; support local and joint venture markets in the area of pricing, reserving, budgeting, forecasting, and renewal for the fully insured commercial and small group AFA businesses; partner with cross-functional teams including Sales, Underwriting, Product, Network and Finance to develop strategic initiatives and pricing strategy that drives profitable membership growth; conduct annual competitive pricing analysis and understand the competitive landscape; prepare and analyze intermediate level data for use in actuarial experience studies, valuation or pricing projects; drive the maintenance of pricing and underwriting tools and provide support for helping others understand underwriting case-specific issues by answering technical questions; conduct actuarial research and analysis for special projects and business areas both in and out of finance; develop reserve factors to assist in evaluating, reviewing, and estimating unpaid claims; coordinate, scope, and maintain a continuously optimized valuation system; contribute to product development and re-pricing initiatives; leverage expertise regarding current pricing models and risk management practices; prepare routine reports and communicate research results to management; continually assess established training and work processes to identify areas for effectiveness and efficiency improvements, and contribute to operating effectiveness through information sharing, suggested process improvements, and effective implementation of change; communicate trends, identify issues, and proactively recommend resolutions to upper management and key stakeholders; and drive the broad-scale preparation of financial reporting as needed. Telecommuting available. Multiple positions.Requirements: Bachelor's degree (or foreign equivalent) in Actuarial Science, Statistics, Mathematics, or a related field and five (5) years of progressive, post-baccalaureate experience in the job offered or related occupation. Requires five (5) years of experience in each of the following: Actuarial principles and methodology for commercial medical insurance including pricing, underwriting, and reserve setting; Statistical analysis of medical healthcare trends; Communicating complex actuarial and mathematical concepts to actuarial and non-actuarial audiences; Financial planning including budgeting, forecasting cycles, and assessing the impact of actuarial pricing decisions; Developing strategic pricing decisions to meet business objectives; Providing strategic consulting expertise in group employee benefits design, benefits integration, vendor selection, and implementation; Conducting life, accident, disability, and medical plan redesign pricing and implementation; Leading complex benefits benchmarking and financial modeling of group benefits plans; and Benefits compliance with healthcare regulations and local legislation.Pay Range: $145808.00/year to $227000.00/year.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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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. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit https://jobs.cvshealth.com/us/en/benefits
This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.