Remote Actuary Director: Medicaid Forecast & Growth

CVS Health Corporation; Hartford (CT); On-site; USD 144,000 - 288,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Comprehensive benefits

Job summary

CVS Health Corporation is seeking a Director-level actuarial leader to drive Medicaid forecast modeling and trend development. You will oversee budget and forecast storytelling, model development, and cross-functional collaboration with plan actuaries and business partners.

Key responsibilities include leading high-visibility forecasts, improving processes through automation, and coaching team members. This remote role requires ASA/FSAs and 10+ years of experience in actuarial science.

Qualifications

• Bachelor’s Degree and 10+ years actuarial experience.
• Must be an ASA or FSA.
• Strong SQL, Python, and Power BI skills.
• Proven ability to lead cross-functional teams.
• Experience with Medicaid or managed care preferred.

Responsibilities

• Lead budget and forecast storytelling for the Medicaid business.
• Oversee forecast model development and support plan actuaries in understanding forecast projections.
• Drive forecast related analysis including development of key assumptions, evaluation of financial experience and trend drivers.
• Review budget and forecast from a business perspective and ensure sound actuarial projections.
• Identify and support process improvement through automation and process simplification; assure timely and accurate deliverables.
• Manage high visibility and complex projects. Allocate and align resources.
• Support trend storytelling and prospective trend development for the Medicaid business.
• Track and normalize trends across a very diverse Medicaid footprint.
• Drill into drivers of trend to support managed care savings development and rate advocacy.
• Provide medical expense review support.
• Analyze program changes based on State-directed and internal benefit design changes.
• Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same.
• Coach, mentor and provide feedback to employees in development of technical skills or subject matter expertise.

Skills

SQL

Python

Power BI

Forecasting

Leadership

Education

Bachelor’s Degree

ASA or FSA

Job description

CVS Health Corporation is seeking a Director-level actuarial leader to drive Medicaid forecast modeling and trend development. You will oversee budget and forecast storytelling, model development, and cross-functional collaboration with plan actuaries and business partners.

Key responsibilities include leading high-visibility forecasts, improving processes through automation, and coaching team members. This remote role requires ASA/FSAs and 10+ years of experience in actuarial science.