Are you a dynamic and driven actuary with experience in value-based care? Do you have a passion for leading and developing teams? Aetna, a leading health insurance company, is seeking a highly qualified Lead Director for our Actuarial team focused on Network VBC. In this role, you will have the opportunity to shape and drive our value-based care initiatives, while utilizing your expertise in actuarial science. If you are a strategic thinker, possess strong leadership skills, and have a deep understanding of the evolving healthcare landscape, we want to hear from you! Join us as we work towards transforming the healthcare industry and making a positive impact on the lives of our members.
- Lead and develop a team of actuaries to drive value-based care initiatives within Aetna.
- Utilize expertise in actuarial science to develop and implement data-driven strategies for value-based care.
- Collaborate with cross-functional teams to identify and analyze key trends and drivers in the healthcare industry.
- Evaluate and monitor the performance of value-based care programs, making recommendations for improvement as needed.
- Partner with internal and external stakeholders to establish and maintain relationships with providers and healthcare organizations.
- Stay up-to-date on industry trends, regulations, and best practices related to value-based care.
- Develop and present reports and presentations to senior leadership on the performance and impact of value-based care initiatives.
- Identify opportunities for cost savings and risk mitigation through the use of actuarial tools and techniques.
- Mentor and coach team members to enhance their skills and knowledge in value-based care and actuarial science.
- Contribute to the overall strategic planning and vision for Aetna's value-based care approach.
- Collaborate with other departments, such as finance and operations, to ensure alignment and integration of value-based care initiatives.
- Represent Aetna at industry conferences and events to share insights and best practices on value-based care.
- Monitor and ensure compliance with regulatory requirements related to value-based care.
- Continuously seek out opportunities for process improvement and efficiency within the actuarial team.
- Act as a thought leader and subject matter expert on value-based care within the organization.
Expertise In Actuarial Sciences: The Lead Director Must Have A Strong Background In Actuarial Sciences And A Deep Understanding Of The Healthcare Industry. They Should Possess Extensive Knowledge Of Risk Management, Forecasting, And Financial Analysis.
Experience With Value-Based Care: Aetna Is A Leader In The Value-Based Care (Vbc) Model, And The Lead Director Must Have Experience Working With Vbc Initiatives. They Should Be Knowledgeable About Alternative Payment Models, Care Coordination, And Quality Improvement Strategies.
Leadership And Management Skills: As A Lead Director, This Individual Will Be Responsible For Overseeing A Team Of Actuarial Professionals And Collaborating With Other Departments. Therefore, They Must Have Strong Leadership, Communication, And Organizational Skills To Effectively Manage And Motivate Their Team.
Strategic Thinking And Decision Making: The Lead Director Must Be A Strategic Thinker And Be Able To Make Data-Driven Decisions. They Should Have The Ability To Analyze Complex Information, Identify Trends And Patterns, And Make Recommendations To Drive Business Growth And Achieve Financial Goals.
Regulatory Compliance: Aetna Operates In A Heavily Regulated Industry And The Lead Director Must Have A Thorough Understanding Of Relevant Laws And Regulations. They Should Also Have Experience Navigating Compliance Issues And Ensuring All Actuarial Processes And Practices Are In Line With Regulatory Requirements.
Financial Analysis
Strategic Planning
Project Management
Data Analysis
Team Management
Contract Negotiation
Leadership
network management
Risk assessment
Actuarial Expertise
Value-Based Care
Communication
Conflict Resolution
Customer Service
Emotional Intelligence
Leadership
Time management
Attention to detail
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Lead Director; Actuarial - Network VBC is $170,000-$220,000 per year. However, this can vary depending on factors such as location, experience, and specific company. Some companies may offer higher salaries for this position, while others may offer lower salaries. It is important to research the specific company and location to get a more accurate salary range.
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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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