Actuarial Analyst
HumanaSalary not specified
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries
Requirements
- 2-5 years work experience
- Working knowledge of problem solving and decision-making skills
- Bachelor's degree preferred/specialized training/relevant professional qualification
Responsibilities
- Develops and communicates pricing model results and strategies
- Develops and validates actuarial assumptions, methodologies, and models by ensuring adherence to actuarial standards and guidelines, such as those set by the Society of Actuaries (SOA)
- Conducts actuarial analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plan designs
- Completes financial forecasting and projection analysis to estimate future healthcare costs, revenue, and profitability
- Analyzes claims data to assess patterns, trends, and cost drivers and identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement
- Assesses impacts of new risk-sharing contracting terms and forecasts potential payments associated with value based contracts
- Under general supervision, provides accurate and timely financial information to internal stakeholders, external auditors, and regulatory bodies
- Encourages team members to explore innovative solutions and approaches to operational challenges
- Identifies opportunities of areas of concern and recommends corrective actions to management for review and resolution
Skills
Actuarial Pricing
Pricing Models
Risk Management
Actuarial Assumptions
Society of Actuaries Standards
Financial Forecasting
Claims Data Analysis
Healthcare Cost Projection
Medicare Actuarial
Statistical Analysis
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
