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Position Summary
Aetna is recruiting a Sr. Manager on the Medicaid Actuarial Growth and Strategy team. This position will be the point person for the Medicaid Actuarial team's involvement with Revenue Integrity, a crucial revenue-generating initiative for the Medicaid Business Unit. This position's responsibilities will include (but are not limited to):
- Tracking and providing monthly updates to Medicaid Market and Executive leaders on the performance of revenue integrity initiatives.
- Reviewing emerging results to identify potential risks and opportunities within revenue integrity initiatives.
- Working with other internal teams to ideate on and size new revenue integrity opportunities.
- Collaborating with Finance teams to support sizing the impact of risk score and revenue related SAIs.
- Continuing to standardize revenue integrity deliverables to create more easily digestible information from data.
- Working with Informatics to explain the connection between market risk adjustment updates and risk adjustment updates to capitation rates.
To be successful in this position, you will need an ability to risk-assess complex problems and recommend solutions and communicate effectively with leadership teams. Being able to collaborate effectively with stakeholders across the organization will also be essential to success.
Required Qualifications
* 7+ years of actuarial or relatable experience
* ASA or FSA credential
Preferred Qualifications
* Prior experience in Medicaid, and experience with project management is preferred but not required
* Diverse experiences that demonstrate an ability to learn quickly
* Adaptability and ability to prioritize effectively
Education
* Bachelor's Degree is required
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.40
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 Benefits | CVS Health
We anticipate the application window for this opening will close on: 10/29/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Working at
CVS Health
CVS Health revolutionizes the healthcare industry by integrating services across its pharmacy-led health and wellness experiences. They focus on making healthcare more accessible and affordable, offering innovative solutions to improve patient care and community health.