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Senior Actuary - Cost Growth Benchmarking

CVSHealthHartford, United States1mo ago
Commercial Employer HealthMedicare AdvantageMedicaidBusiness Intelligence & ReportingRegulatory Reporting

Role Summary

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HIGHLIGHTS

Senior health actuarial role supporting Aetna's national and state medical cost benchmarking in Hartford, CT. You will analyze drivers of medical cost trends, build recurring reports and exhibits, and present executive-ready insights to senior leadership. The role requires an ASA or FSA and strong technical skills in SQL, R, VBA and BI tools.

JOB DESCRIPTION SUMMARY

  • Analyze national and state medical cost trends for Aetna
  • Build reports, exhibits and executive presentations for internal and external meetings
  • Use SQL, GCP, R, VBA, SmartView, ThoughtSpot, and Microsoft Office
  • Partner with finance, actuarial, product, network, pharmacy and regulators
  • Senior role requiring ASA or FSA with 5+ years' relevant experience

DOMAIN EXPERTISE

  • Managed care: provider contracting, benefit design, medical management
  • Experience with Commercial, Medicare, or Medicaid products
  • Explaining medical cost trends to senior leaders and regulators
  • Working with daily claims data and cloud analytics platforms

KEY REQUIREMENTS

  • 5+ years of relevant healthcare actuarial or analytics experience
  • ASA or FSA designation required
  • Healthcare experience: Commercial, Medicare, or Medicaid preferred
  • Hands-on experience with SQL, R and VBA for reporting/analysis

TECH STACK

  • Excel
  • PowerPoint
  • Other_BI_Tool