Senior Actuarial Manager - Self-Insured Discounts

Hispanic Alliance for Career Enhancement; Woonsocket (RI); On-site; USD 118,450 - 260,590; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Bonus eligible

Equity award program

Job summary

CVS Health is seeking an experienced analytical professional to manage open-ended analyses in discount, unit cost, and medical management spaces for Aetna's self-insured value proposition. You will collaborate across Data Science, Underwriting, Product, and business stakeholders to translate outcomes into actionable guarantee structures and governance.

The role requires a Bachelor’s degree with 5+ years of actuarial/analytical experience and ASA designation.

Qualifications

• Bachelor's degree plus 5+ years actuarial/analytical experience with strong technical, analytical, and financial skills.
• ASA designation required.

Responsibilities

• Perform detailed actuarial and financial analyses to evaluate data and discount methodologies on UDS submissions.
• Conduct ad hoc and recurring studies of discount impact and reporting approaches for strategic decision-making and competitive positioning.
• Provide insights on data submission strategies amid market dynamics and regulatory requirements.
• Develop performance targets, payout methodologies, and guarantee frameworks with internal partners.
• Maintain and update governance materials including PADUs and underwriting guidelines.
• Actuarial judgment on proposed guarantee modifications and program designs.
• Own and maintain Medical Management savings modeling tools and enhance model functionality.

Education

Bachelor's degree

ASA designation

Job description

CVS Health is seeking an experienced analytical professional to manage open-ended analyses in discount, unit cost, and medical management spaces for Aetna's self-insured value proposition. You will collaborate across Data Science, Underwriting, Product, and business stakeholders to translate outcomes into actionable guarantee structures and governance.

The role requires a Bachelor’s degree with 5+ years of actuarial/analytical experience and ASA designation.