Senior Manager, Actuarial
CVS Health
- Salary
- $130k - $261k
- Experience
- 5+ Years
Role Summary
Role type
Specialist in a large health insurer
Closer to a large-carrier specialist than a pricing-underwriting partner because the work serves Medicaid markets and corporate functions rather than live commercial underwriting deals.
Senior Manager actuarial role in Blue Bell, Pennsylvania, supporting Medicaid managed care pricing and forecasting for a health insurer. You’ll evaluate state rate-setting, monitor financial and medical cost performance, guide analytical teams, and advise market, finance, and operations leaders. The role requires an ASA, 5+ years of relevant experience, and strong SQL and Excel skills.
Requirements
Must have
- Bachelor's degree required
- ASA designation
Strongly preferred
- 5+ years of actuarial experience in or adjacent to managed care or health insurance
- Strong SQL and Microsoft Excel proficiency
- Experience working with large healthcare datasets
- Knowledge of actuarial modeling and forecasting techniques
Nice to have
- Experience with actuarial pricing, forecasting, reserving, or financial planning functions
- Experience with healthcare data warehouses and reporting platforms
- Experience assessing and explaining drivers of financial performance
- Strong analytical and problem-solving skills with ability to manage ambiguity
- Proven ability to independently manage multiple priorities and competing deadlines
- Data visualization tools such as Power BI
- Ability to generate new ideas, think strategically, and creatively solve problems
- Excellent written and verbal communication skills
Skills & Domain
ToolsExcelPower_BI
DomainMedicaid managed care pricing and forecastingEvaluating state rate-setting methodologies
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