Lead Director; Actuarial - Medicare Advantage (SNP)
Medicare AdvantageMedicaidPricing & RatingBusiness Intelligence & ReportingRisk Management, ERM & ORSA
Role Summary
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Senior health actuarial leadership role focused on Medicare Advantage Special Needs Plans (SNP) for Aetna. Lead a team to own pricing/bidding, analytics, reporting, and risk-management advice for Dual Eligible and integrated SNP products. Role is based in Hartford, CT and reports into Medicare business leadership as a strategic subject-matter expert.
JOB DESCRIPTION SUMMARY
- Lead actuarial strategy for Medicare Advantage Special Needs Plans (SNP)
- Own pricing/bidding best practices, analytics, and reporting across geographies
- Manage and develop a team of actuaries supporting Medicare and Medicaid partners
- Partner with executive Medicare business leaders on strategic and financial decisions
- Based in Hartford, CT; senior director level requiring 10+ years' experience
DOMAIN EXPERTISE
- Medicare Advantage Special Needs Plans (SNP)
- Dual Eligible / integrated plans experience
- Medicaid coordination and interaction experience
- Medicare/Medicaid regulatory experience
- Financial modelling for bids/pricing
KEY REQUIREMENTS
- 10+ years of actuarial or related experience
- ASA or FSA designation required
- Prior people leader experience managing actuarial staff
- Bachelor's degree required
- Proven project management and financial modeling experience
TECH STACK
- Excel
- PowerPoint