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Role Summary

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HIGHLIGHTS

Senior health actuarial leadership role focused on Medicare Network strategy and performance for Aetna/CVS Health (Hartford, CT; hybrid/remote). You will lead a team to drive Medicare bid pricing, network development, and market-level provider performance analysis, partnering with business leaders and participating in state RFPs. ASA required; FSA valued.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Network actuarial strategy and target network development
  • Drive Medicare bid pricing and CMS fee-schedule analysis
  • Enable market teams with data cubes, HCIC insights, and provider performance
  • Hybrid or remote role based in Hartford, CT
  • Director-level role; ASA required and 10+ years health actuarial experience

DOMAIN EXPERTISE

  • Medicare bid pricing
  • CMS fee schedule (IPPS/OPPS/Physician) knowledge
  • Medicare network development and performance analysis
  • Broad health insurance actuarial functions experience

KEY REQUIREMENTS

  • 10+ years actuarial health insurance experience
  • ASA designation required (FSA valued)
  • Approximately 5+ years of people management experience
  • Experience with Medicare bid pricing and CMS fee schedules (IPPS/OPPS/Physician)
  • Advanced Excel modelling and ability to pull/manipulate data using SQL

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leadership role focused on Medicare Network strategy and performance for Aetna/CVS Health (Hartford, CT; hybrid/remote). You will lead a team to drive Medicare bid pricing, network development, and market-level provider performance analysis, partnering with business leaders and participating in state RFPs. ASA required; FSA valued.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Network actuarial strategy and target network development
  • Drive Medicare bid pricing and CMS fee-schedule analysis
  • Enable market teams with data cubes, HCIC insights, and provider performance
  • Hybrid or remote role based in Hartford, CT
  • Director-level role; ASA required and 10+ years health actuarial experience

DOMAIN EXPERTISE

  • Medicare bid pricing
  • CMS fee schedule (IPPS/OPPS/Physician) knowledge
  • Medicare network development and performance analysis
  • Broad health insurance actuarial functions experience

KEY REQUIREMENTS

  • 10+ years actuarial health insurance experience
  • ASA designation required (FSA valued)
  • Approximately 5+ years of people management experience
  • Experience with Medicare bid pricing and CMS fee schedules (IPPS/OPPS/Physician)
  • Advanced Excel modelling and ability to pull/manipulate data using SQL

TECH STACK

  • Excel

Job Overview

Salary
$175k - $335k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with 10+ years in Medicare actuarial work, strong bid pricing and CMS fee-schedule expertise, leadership experience, and advanced Excel/SQL skills.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanAnnual BonusEquity/Stock OptionsWellness Program
Shortlist Forming
Closing Soon
46d
46 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Job Overview

Salary
$175k - $335k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with 10+ years in Medicare actuarial work, strong bid pricing and CMS fee-schedule expertise, leadership experience, and advanced Excel/SQL skills.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanAnnual BonusEquity/Stock OptionsWellness Program
Shortlist Forming
Closing Soon
46d
46 days ago

Strategy: Speed over Perfection

By Day 21, visibility drops significantly. Recruiters are focusing on existing candidates.

"Don't wait for a cover letter. The requisition could close tomorrow. Apply now."

Executive Director, Actuarial - Medicare Network

CVS Health

Health/Insurer/Director Level
CVS Health

Executive Director, Actuarial - Medicare Network

CVS Health
Hartford, Connecticut, United States•1mo ago
FlexibleMedicare Advantage

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