Posted in Other 30+ days ago.
This job brought to you by Professional Diversity Network, Inc
Type: Full Time
Location: Hartford, Connecticut
Join a high-performing actuarial team supporting CVS Health and Aetna's government services pharmacy business.
This role supports the Medicare Part D business (MAPD and PDP, Individual and EGWP) by applying quantitative skills and analytical methods. Take full ownership of assigned projects, effectively communicate within and across teams, act as project team lead and subject matter expert. Demonstrate understanding of complex actuarial functions and industry related issues. Influence, recommend and implement actuarial policy and processes. Leverage technical skills and critical thinking to achieve business solutions. Areas of focus may include support of pricing, forecasting, bid/quote processes, formulary/clinical, network and model development.
60050 Fundamental Components: Fundamental Components:Exciting opportunity with high visibility and upward
potential for the right candidate. Aetna is rapidly expanding their
Medicare Part D business and needs experience talent to help manage this
growing block. We are interested in candidates with pharmacy actuarial
experience. Open to candidates with PBM and/or managed care backgrounds. Responsibilities
include a subset of the following: Formulary Development, Pharmacy Network
Strategy, Pharmacy Utilization Management, Medicare Part D Bid Submission, and
Monthly and Quarterly Forecasting and Variance Analysis.
Background Experience: Bachelor's degree along with a minimum of 5+ years relevant experience
Minimum of ASA (FSA desired)
Previous experience w/pharmacy specific actuarial backgrounds, either from a PBM or managed care organizations
Medicare Part D experience ideal
Strong technical skills; Excel & SAS
Potential Telework Position: Yes 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 to review the benefits associated with this position. Candidate Privacy Information: Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.