Lead Director, Actuarial - Self Insured
CVSHealth
Lead Director, Actuarial - Self Insured
Hartford,
United States•5mo ago
Commercial Employer Health
Role Summary
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Director-level health actuarial role focused on Aetna's self-insured business in Hartford, CT. Lead a small team to analyze Machine Readable Files and Hospital Transparency data, evaluate self-insured trend performance, and produce out-of-network savings analyses. Influence underwriting trend setting and educate external Health Benefit Consultants on Aetna data.
JOB DESCRIPTION SUMMARY
- Lead analytics for Aetna's self-insured Commercial health business
- Manage a team of 3 and set self-insured trend guidance for underwriting
- Analyze Machine Readable Files and Hospital Transparency datasets
- Produce out-of-network savings analyses and present to consultants
- Role location: Hartford, CT (US); Director-level, senior actuarial leader
DOMAIN EXPERTISE
- Healthcare actuarial or data analytics experience
- Experience evaluating self-insured trend performance
- Experience analyzing Machine Readable Files and Hospital Transparency files
- Experience producing out-of-network savings analyses
- Experience building relationships with health benefit consultants
KEY REQUIREMENTS
- Bachelor's degree plus 10+ years of actuarial or data analytics experience
- Prior healthcare experience is required
- Prior people management experience (managing a team)
- Proficiency with Microsoft Excel
TECH STACK
- Excel