Director of Actuarial Pricing
Sidecar HealthSalary not specified
Full Time
Expert & Leadership (9+ years)
Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries
Requirements
- Bachelor's degree along with 10+ years relevant work experience in actuarial or related fields
- Must have ASA (required) or FSA (preferred)
- Strong communication skills for internal collaboration and external customer interactions
- Strong understanding of employer-sponsored medical insurance
- Knowledge of Small Group and Large Group distinctions and nuances
Responsibilities
- Lead actuarial and underwriting teams supporting the Professional Employer Organization (PEO) segment
- Partner with account team, product, finance, and segment President to drive profitable growth
- Own various core actuarial projects such as experience and manual rated pricing, knowledge of reserve setting, medical cost analysis and forecasting
- Collaborate with external stakeholders, including executives, project managers, benefits managers, actuaries and underwriters for both customers and their hired consultants
- In collaboration with account team, define and manage the PEO renewal strategy, identify and mitigate risks, and capitalize on opportunities by developing unique solutions
- Support new and growth PEOs by evaluating prospects and managing the PEO pipeline, and sell Aetna through communication of value proposition
- Manage team through the PEO renewal cycle, including deliverables such as annual renewal delivery, allocation of rate increase to small groups (rebanding), post-renewal review and analysis, continuous monitoring and reporting of experience, product strategy, internal underwriting administrative tasks, and supporting customer strategy conversations
- Manage 4-5 direct reports, with total staff of 13
Skills
Key technologies and capabilities for this role
Questions & Answers
Common questions about this position
What is the pay range for this Executive Director role?
The typical pay range is $175,100.00 - $334,750.00, depending on factors like experience, education, and geography. This position is also eligible for a bonus, commission, short-term incentive program, and company equity award.
Is this position remote or does it require office work?
This information is not specified in the job description.
What are the required qualifications for this role?
Candidates need a Bachelor's degree with 10+ years of relevant actuarial experience and must hold ASA (FSA preferred). Strong communication skills, understanding of employer-sponsored medical insurance, and knowledge of Small Group and Large Group distinctions are also required.
What does the team structure look like for this position?
The role includes 4-5 direct reports with a total staff of 13.
What experience makes a candidate stand out for this role?
Preferred qualifications include knowledge of the PEO industry, experience managing actuarial or underwriting staff, and understanding of SQL or similar languages for data querying.
CVS Health
Comprehensive pharmacy and healthcare services
About CVS Health
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.
Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays
Risks
Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.
Differentiation
CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.
Upsides
Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.
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