Aetna

Actuary - Medicare Network

Aetna

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Welcome to Aetna! We are seeking a highly skilled and motivated Actuary with specialized knowledge and experience in the Medicare network to join our team. As an Actuary, you will play a crucial role in analyzing and predicting the financial risks and opportunities within our Medicare network, helping us make informed decisions to ensure the best possible outcomes for our members. If you have a strong background in actuarial science, a passion for healthcare, and a desire to make a positive impact, we would love to hear from you. Join us in our mission to provide high-quality, affordable healthcare to our members.

  1. Conduct thorough analysis of financial data and performance metrics pertaining to the Medicare network.
  2. Utilize actuarial techniques and principles to accurately predict and assess the risks and opportunities within the Medicare network.
  3. Develop and maintain actuarial models and tools to support decision-making processes.
  4. Collaborate with cross-functional teams to identify areas for improvement and implement strategies to optimize financial performance.
  5. Stay updated on industry trends, regulations, and changes in the Medicare landscape.
  6. Communicate complex actuarial concepts and findings to stakeholders in a clear and concise manner.
  7. Provide recommendations and insights based on actuarial analysis to inform strategic planning and decision-making.
  8. Conduct regular audits and reviews to ensure accuracy and compliance with regulatory requirements.
  9. Mentor and train junior members of the actuarial team.
  10. Act as a subject matter expert and represent the actuarial department in meetings and presentations.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Actuarial Science, Mathematics, Statistics, Or A Related Field.

  • At Least 3 Years Of Experience In Actuarial Work, Preferably In The Healthcare Industry.

  • Strong Knowledge Of Medicare Regulations And Reimbursement Methodologies.

  • Proficiency In Actuarial Software And Programming Languages, Such As Sas Or R.

  • Excellent Analytical And Problem-Solving Skills, With The Ability To Communicate Complex Data And Findings To Non-Technical Stakeholders.

Required Skills
  • Risk Management

  • Strategic Planning

  • statistical analysis

  • Financial forecasting

  • Data Interpretation

  • Claims analysis

  • Actuarial modeling

  • Cost Containment

  • Healthcare Policy

  • Benefit Design

  • Provider Network Management

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Critical thinking

  • Teamwork

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Actuary - Medicare Network is between $87,000 and $135,000 per year. However, this can vary depending on factors such as location, experience, and specific job responsibilities. Some actuarial positions in this field may also offer additional benefits such as bonuses and healthcare coverage.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeJuly 20th, 2025
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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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