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Role Summary

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HIGHLIGHTS

Senior leadership role leading Medicare network insights and curation at CVS Health (Aetna). Requires 10+ years of health insurance actuarial experience, deep Medicare expertise including Bid Pricing and CMS reimbursement, and 5+ years of people leadership. The role shapes network strategy, supports RFP decisions, and drives cross-functional alignment. ASA required, FSA valued. Location: Hartford, CT.

JOB DESCRIPTION SUMMARY

  • Lead Medicare network insights and curation strategy
  • Partner with senior leaders to shape network strategy
  • Provide actionable market-level performance insights
  • Support RFP strategy through actuarial analysis
  • Executive Director role, ASA required, 10+ yrs experience

DOMAIN EXPERTISE

  • Medicare network strategy
  • Bid Pricing and CMS reimbursement
  • Provider performance analysis
  • Health insurance actuarial

KEY REQUIREMENTS

  • 10+ years actuarial experience in health insurance
  • Deep Medicare experience (Bid Pricing, CMS reimbursement)
  • 5+ years people leadership experience
  • ASA required; FSA valued
  • Advanced Excel and SQL skills

TECH STACK

  • Excel
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Role Summary

Loading...

HIGHLIGHTS

Senior leadership role leading Medicare network insights and curation at CVS Health (Aetna). Requires 10+ years of health insurance actuarial experience, deep Medicare expertise including Bid Pricing and CMS reimbursement, and 5+ years of people leadership. The role shapes network strategy, supports RFP decisions, and drives cross-functional alignment. ASA required, FSA valued. Location: Hartford, CT.

JOB DESCRIPTION SUMMARY

  • Lead Medicare network insights and curation strategy
  • Partner with senior leaders to shape network strategy
  • Provide actionable market-level performance insights
  • Support RFP strategy through actuarial analysis
  • Executive Director role, ASA required, 10+ yrs experience

DOMAIN EXPERTISE

  • Medicare network strategy
  • Bid Pricing and CMS reimbursement
  • Provider performance analysis
  • Health insurance actuarial

KEY REQUIREMENTS

  • 10+ years actuarial experience in health insurance
  • Deep Medicare experience (Bid Pricing, CMS reimbursement)
  • 5+ years people leadership experience
  • ASA required; FSA valued
  • Advanced Excel and SQL skills

TECH STACK

  • Excel

Job Overview

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

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years in health insurance, deep Medicare experience including Bid Pricing and CMS reimbursement, and proven people leadership. Must be able to influence senior stakeholders and drive network strategy.

ASA

Benefits

Bonus EligibleEquity/Stock OptionsHealth InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

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

Ideal Candidate Profile

Ideal for an ASA or FSA with 10+ years in health insurance, deep Medicare experience including Bid Pricing and CMS reimbursement, and proven people leadership. Must be able to influence senior stakeholders and drive network strategy.

ASA

Benefits

Bonus EligibleEquity/Stock OptionsHealth InsuranceDental InsuranceVision Insurance401(k) PlanGenerous VacationWellness Program
Fresh Role
Premium Window
0d
Posted Today

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Executive Director, Actuarial - Medicare Network

CVS Health

Health/Insurer/Director Level
CVS Health

Executive Director, Actuarial - Medicare Network

CVS Health
Hartford, Connecticut, United States•1h ago
Medicare Advantage

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