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Sep 19, 2024
Full time
Actuary
CVS Health AZ, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Join CVS Health as an Actuarial Services Senior Manager, on the Medicare D Actuarial Services team. We are seeking an actuary to support our Medicare Health Plan Clients. You will work with CVS Caremark Medicare Health Plan clients, providing guidance and...
Miscellaneous Professional Services
Sep 19, 2024
Full time
Actuary - Behavioral Health
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Actuary for Behavior Health will support state filings/audits, mental health parity (MHP) testing and all QTL (Quantitative Treatment Limits) testing.  You will establish relationships with key stakeholders, subject matter experts and decision makers to...
Miscellaneous Professional Services
Sep 19, 2024
Full time
Actuary - Medicare Part D
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business.  This role will focus on analyzing financial and business impacts of changes to the complex Part D market and completive landscape.  The position will...
Miscellaneous Professional Services
Sep 19, 2024
Full time
Senior Actuary - Part D
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business.  The primary focus is the pharmacy product strategy and pricing of MAPD, SNP and PDP Products. This role will focus on developing...
Miscellaneous Professional Services
Sep 15, 2024
Full time
Senior Actuary - Student Health
CVS Health Blue Bell, PA, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This is an exciting opportunity to support a broad range of actuarial functions across the Aetna Student Health business line. In this Sr. Manager level role, the ideal candidate will be a motivated, self-starter able to influence and prioritize initiatives and...
Miscellaneous Professional Services
Sep 05, 2024
Full time
Actuary
High Market Health Remote
Company : Highmark Inc. Job Description :  JOB SUMMARY This job is an ASA Certified actuary position that initiates and leads the development of actuarial studies and analyses.  Gives direction to less experienced staff and will represent the department's perspectives and needs in cross disciplinary settings.  The incumbent applies actuarial techniques and statistical analysis to several functions, including insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness studies, predictive modeling, or claim reserving. ESSENTIAL RESPONSIBILITIES Define & diagnose a problem.  Outline data requirements for a study or analysis and devise insightful and creative solutions. Uncover the root causes of problems and reject superficial explanations.  Review the appropriateness of the results in light of experience and industry knowledge.  Consider alternate explanations or viewpoints before...
Miscellaneous Professional Services
Sep 05, 2024
Full time
Senior Actuary
High Market Health Remote
Company : Highmark Inc. Job Description :  JOB SUMMARY This is an individual contributor, credentialed actuary position.  Participates in Highmark's Actuarial Executive Development Program. Utilizes subject matter expertise and advanced industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise insightful and creative solutions, demonstrating accountability and ownership of results.  Demonstrates broad expertise and ingenuity and will be sought out by others for advice on methodology, strategy, and delivery of results.  Engage, motivate, and mentor less experienced staff and provide decision support to team members while initiating and leading actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers. Effectively advocates across the entire corporation for appropriate positions, processes, and systems which can reasonably be adopted. Displays an ongoing commitment to...
Miscellaneous Professional Services
Mar 14, 2024
Full time
Actuary - Medicare Part D
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business.  The colleague’s primary focus is Part D Low Income Benchmarks and Premium Subsidies. This role will focus on analyzing financial and...
Accounting Insurance
Mar 14, 2024
Full time
Actuary - Commercial Large Group Rate Review
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary This is a dual role that serves as a key member of the functional Actuarial team in charge of the Commercial Large Group Rate Review while also supporting the Central Region. Serve as a leading member of the functional team in charge of the annual Commercial...
Accounting Insurance
Mar 14, 2024
Full time
Senior Actuary – IFP Product Performance
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Individual & Family Plans (IFP) Product Performance team is looking for driven, high-performance colleagues to join their team.  Our team is responsible for monitoring and evaluating the financial performance of our Individual Exchange business, which...
Finance Insurance
Mar 14, 2024
Full time
Actuary – IFP Product Performance
CVS Health Chicago, IL, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Individual & Family Plans (IFP) Product Performance team is looking for driven, high-performance colleagues to join their team.  Our team is responsible for monitoring and evaluating the financial performance of our Individual Exchange business, which...
Insurance
Sep 05, 2024
Full time
Associate Actuary
High Market Health Remote
Company : Highmark Inc. Job Description :  JOB SUMMARY This job is a senior level actuarial analyst position.  Participates in Highmark’s Actuarial Executive Development Program and is expected to make continued progress towards actuarial credential.  Utilizes experience and industry knowledge to define & diagnose a problem, outline data requirements for a study or analysis, and devise potential solutions.  Guides and mentors less experienced staff and provides decision support to team members while initiating and leading the development of actuarial studies, analyses, and presentation materials needed to appropriately inform decision makers and making appropriate recommendations to management. Will work to develop efficient processes and will apply actuarial techniques and statistical analysis to several functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness...
Miscellaneous Professional Services
Sep 15, 2024
Full time
Actuary - ACA Markets
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary • This position is responsible for rate development and filings in the Individual and Small Group ACA markets. • Contribute to achievement of profitability and membership goals by acting as a strategic partner with business partners. • Coordinate the...
Miscellaneous Professional Services
Sep 19, 2024
Full time
Analyst, Actuarial (ADP)
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. The Actuarial Development Program is a full-time, dynamic, 4 1/2 year (minimum) program designed to develop individuals entering the Actuarial field into future leaders. The program provides you with challenging work environments geared toward developing the future financial...
Sep 19, 2024
Full time
Analyst, Actuarial (ADP)
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. The Actuarial Development Program is a full-time, dynamic, 4 1/2 year (minimum) program designed to develop individuals entering the Actuarial field into future leaders. The program provides you with challenging work environments geared toward developing the future financial...
Sep 19, 2024
Full time
Actuarial Corporate Intern - 2025
CVS Health Hartford, CT, USA
You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. This program is a 10-week full-time opportunity that provides real work experience with a team in your business area. You will be aligned to projects to lead or contribute to while also participating in networking, development, and career exploration activities. Our Corporate Interns can apply for future full-time roles during the program and have an increased likelihood to receive an offer for a post-graduation role.   The Summer 2025 program will run June 2nd - August 8th, 2025. Virtual onboarding activities will also take place May 28th -30th, 2025. Our Actuarial organization drives to support business leaders with critical thought partnership and end-to-end...
Sep 19, 2024
Full time
Actuarial Corporate Intern - 2025
CVS Health Hartford, CT, USA
You’ve invested a lot of time and energy in your education. Now you want the chance to make your mark. We offer challenging opportunities for you to learn and grow professionally. In our programs, you’ll be immersed in a culture of continuous improvement, with the goal of changing health care for the better. This program is a 10-week full-time opportunity that provides real work experience with a team in your business area. You will be aligned to projects to lead or contribute to while also participating in networking, development, and career exploration activities. Our Corporate Interns can apply for future full-time roles during the program and have an increased likelihood to receive an offer for a post-graduation role.    The Summer 2025 program will run June 2nd - August 8th, 2025. Virtual onboarding activities will also take place May 28th -30th, 2025. Our Actuarial organization drives to support business leaders with critical thought partnership and end-to-end...
Sep 19, 2024
Full time
Clinical Client Integration Manager
High Market Health PA, USA
Company : Highmark Inc. Job Description :  JOB SUMMARY This job is responsible for the overall clinical support of account and sales specific activities within the Clinical Services division.  The incumbent works with leaders in clinical services and sales/account management as a liaison, developing collaborative relationships across departments such as sales, actuary, product and marketing to provide clinical content research for clients, clinical expertise for high-cost reporting, RFP responses, preparation for client meetings, and tracking of performance guarantees including participation in strategies to improve outcomes. ESSENTIAL RESPONSIBILITIES Develop collaborative relationships across various departments such as sales, actuary, product, marketing and others, as identified.  Actively collaborate with account managers, clinical sales consultants, and other key stakeholders in preparation for client meetings.  May accompany sales to attend and, at times,...
Management
Sep 17, 2024
Full time
Manager, Medical Economics
CVS Health Hartford, CT, USA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.   Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary The Executive Analytics & Corporate Insights team in the Medical Economics Unit is seeking a medical economics professional with the primary role of evaluating internal and external medical cost trend and trend drivers across all four of Aetna’s major lines...
Management
Sep 15, 2024
Full time
Senior Actuarial Analyst
VillageMD Berkeley Heights, NJ, USA
About Our Company We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians . When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Job Description EMPLOYER : Village Practice Management Company, LLC DBA VillageMD JOB POSITION : Senior Actuarial Analyst LOCATION : 1...
Insurance