Jobs for People with MS: National MS Society

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A Brief OverviewThis lead director will lead the Medicaid reserve process. This person will oversee bringing the Medicaid reserve process into the Finance organization, from the business. This role plays an instrumental part in protecting Aetna’s financial integrity and ensuring the health of the Medicaid business. The role will align actuarial policies and procedures with organizational goals. This person will advise management on the judgments and risks that are identified in her/his analysis of actuarial liabilities.

This position will be hybrid with anticipated in office days Tuesday, Wednesday and Thursday. Candidates will be within a reasonable commuting distance to any of the CVS HUBS.

What you will do

• Monthly, determine required actuarial liabilities for the Medicaid business.

• Transition the existing Medicaid actuarial IBNR model from the Medicaid business actuarial team to the valuation team. Over an accelerated period take ownership of the model.

• Serve as the appointed actuary for the Medicaid legal entities, including providing annual actuarial opinions and memorandums for those entities. Note that this requires meeting the Specific Qualification Standard for providing a Statement of Actuarial Opinion, NAIC Health Annual Statement.

• Serves as a business partner to the Medicaid business actuarial and finance teams. Provide insights regarding the level of medical costs recognized and changes to prior periods.

• Harmonize financial reporting materials across the Medicaid business to be consistent with the Medicare and Commercial blocks. Work with your reserve actuary peers in the Commercial and Medicare business to identify Medicaid analytics that should be deployed on those blocks.

• Over a two-year period, works with the valuation infrastructure team to inhouse the Medicaid data extraction and lag model construction work.

• Provides required materials and responds to internal and external auditor questions.

• Builds tools and models that help to understand and address variances to expected performance.

Minimum Requirements

• 10+ years work experience

• FSA or ASA of the Society of Actuaries

• Member of the American Academy of Actuaries

• Meets the Specific Qualification Standard of the American Academy of Actuaries, for providing a Statement of Actuarial Opinion, NAIC Health Annual Statement. Must meet this qualification for the 2024 year end period.

• Must be willing and able to be onsite 3 days a week (Tues, Wed, Thursday)

Preferred Experience

• Clearly communicates technical concepts. Gears communications to her/his target audience.

• Adept at execution and delivery skills

• Adept at business intelligence

• She/he is collaborative. She/he welcomes feedback and openly shares feedback with others.

• Mastery of problem solving and decision making skills

• Mastery of growth mindset (agility and developing yourself and others) skills

Education

• Bachelor's degree

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,500.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/03/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.