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CVS Health Senior Analyst, Actuarial - Large Group (Fully Remote) in Concord, California

Job Description

This position can be work from home anywhere or in any Aetna office in the United States. This position supports the performance of Aetna's entire self-insured medical book of business, it's hundreds of customers and millions of members. This role makes our book of business successful by helping Actuarial leadership remain on top of what is happening with trend for self-insured customers, enabling us to advise customers well and manage risk around offerings such as stop loss and claim target guarantees. - Quarterly and off cycle creation of discounts for our repricing database help Aetna to win and retain business by accurately reflecting our unit cost value to self-insured customers and prospects.- Maintaining and enhancing the ACO tool allows Aetna to support this growing segment of our business, allowing Underwriting to demonstrate the value of these networks to customers- This role will coordinate with experts in other business areas to improve functionality of tools as well as quality and usefulness of data provided. Areas will include Underwriting, Fully Insured Actuarial Teams, Repricing Team and VAULT team.- Excellent communication skills are needed to convey the findings of analyses and draw conclusions for business applicability#AetnaActuary

Required Qualifications

  • 5 years of related health insurance experience in actuarial, underwriting, financial or data analytics role- SAS EG (Enterprise Guide) and SQL proficient user

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

  • Experience working with self-insured in the health insurance space- Experience calculating and determining drivers of healthcare inflation and trend- Experience calculating or utilizing discount data

Education

  • Bachelor's in a computational or analytical field of study or equivalent experience.

Business Overview

Bring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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