Manager, Machine‑Readable File Strategy and Analytics
Health OtherBusiness Intelligence & ReportingData Engineering
Role Summary
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Actuarial manager role in Health at Aetna (CVS Health) in Hartford, CT. Lead Machine-Readable File (MRF) strategy and analytics, translating regulatory transparency data into defensible actuarial insights and aligning MRF outputs with claims-based benchmarks like UDS. Develop tools, guidance, and feedback loops to improve MRF quality. Requires 3+ years actuarial experience and ASA/FSA or demonstrated progress, with 2+ years in healthcare actuarial analysis.
JOB DESCRIPTION SUMMARY
- Lead MRF strategy and analytics to translate transparency data into actuarial insights
- Align MRF outputs with claims-based benchmarks such as UDS
- Develop tools and guidance to assess MRF data quality and decision-grade applicability
- Work cross-functionally with Network Actuarial, Data Science, and Sales Enablement
- Manager-level health actuarial role in Hartford, CT requiring 3+ years' experience
DOMAIN EXPERTISE
- Machine-Readable File (MRF) data analysis and interpretation
- Healthcare actuarial analysis (pricing, network, or cost analytics)
KEY REQUIREMENTS
- Bachelor's degree required
- 3+ years of actuarial experience
- ASA or FSA, or demonstrated progress toward actuarial credentials
- 2+ years of healthcare actuarial analysis (pricing, network, or cost analytics)
TECH STACK
- No tech stack specified
