Support actuarial functions by applying quantitative skills and analytical methods. Take full ownership of assigned projects and potentially act as project team lead. Leverage more advanced technical skills to achieve business solutions and demonstrate solid understanding of business and product processes.
62486 Fundamental Components:
•Aetna Way - Exhibit behavior that reflects Aetna’s values and is in accordance with the Aetna Way.
•Leadership: - Serve as a team lead for various Medicaid markets in the Western region. Act as mentor to newer or less experienced staff. Facilitate training and development opportunities.
•Regulatory Issues - Demonstrate understanding of regulatory compliance issues. Assist in the state reporting process with reserve allocations and quarterly Schedule H analysis for Western Medicaid markets.
•Risk Analysis & Management - Work with Medicaid plan leadership and supervisor to understand the nature of specific risks. Share results of analysis with management.
•Rate Impact Analysis and Pricing Models - Analyze rate offers by various states to Aetna's PMPM cost and mix. Prepare and submit necessary exhibits for regulatory filings.
•Reserve Liability Setting - Analyze claim data and monitor reserve levels for appropriateness. Demonstrate understanding of actuarial reserving techniques and issues.
•Planning & Forecasting - Populate and update Q1, Q2, and Q3 forecasts. Make recommendations to supervisor regarding trends, unit cost and utilization changes due to future benefit changes/network changes.
•Communication, Collaboration & Verbal/Written Communication- Respond to inquiries from Finance/Plan Leadership/Valuation/BIS/Medicaid Actuarial team regarding claims impacts of changes in Medicaid contracts. Create and maintain accurate documentation and develop training materials for tools and processes. Background Experience:
•Bachelor’s degree along with 3 - 4 years of experience in Health insurance
•Must have passed a minimum of 4 actuarial exams and pursuing an ASA (Associate of the Society of Actuaries) credential.
•Technical Proficiency: - High proficiency with SQL and EXCEL.
•2 - 3 years of Managed Care Medicaid experience preferred.
•This position requires commuting to the Aetna Medicaid office in Phoenix, Arizona. Required Skills:
General Business - Applying Reasoned Judgment Desired Skills:
Finance - Delivering Profit and Performance Potential Telework Position:
No Percent of Travel Required:
0 - 10% EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer Benefit Eligibility:
Benefit eligibility may vary by position. Click here
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