Manager, Machine‑Readable File Strategy and Analytics

Position Summary The Manager, MRF Strategy and Analytics is an actuarial leadership role responsible for advancing Aetna's technical strategy for the analysis, interpretation, and continuous improvement of Machine-Readable File (MRF) data. Collaborating with their supervisor, this position serves as a subject‑matter expert on MRF data quality, applicability, and limitations in consultant‑led benchmarking and client‑facing analyses. Responsibilities The role partners closely with Network Actuarial, Data Science, and Sales Enablement teams to translate regulatory transparency data into defensible actuarial insights. Responsibilities include developing tools and guidance that clarify competitive positioning, defining when MRF data is decision‑grade, aligning MRF outputs with claims‑based benchmarks such as UDS, and establishing feedback loops that improve the quality and external credibility of Aetna's MRFs. Required Qualifications Demonstrated ability to apply actuarial judgment to ambiguous, incomplete, or imperfect data sources. Strong analytical skills with the ability to translate complex findings into clear business insights for technical and non‑technical audiences. Experience collaborating across actuarial, data science, and commercial teams. Bachelors degree required along with 3+ years of Actuarial experience. Associate or Fellow of the Society of Actuaries (ASA or FSA), or demonstrated progress toward actuarial credentials. 2+ years of experience in healthcare actuarial analysis (e.g., pricing, network, or cost analytics). Preferred Qualifications Knowledge of Machine‑Readable File (MRF) data and healthcare transparency requirements. Experience working with large, complex healthcare datasets. Familiarity with SQL or similar query languages for extracting, validating, and analyzing data. Experience reconciling or benchmarking multiple data sources (e.g., MRF, UDS, claims‑based data). Exposure to consultant‑led benchmarking methodologies or external transparency tools. Strong technical documentation and communication skills. Education Bachelor's degree in Actuarial Science, Mathematics, Statistics, or a related quantitative field. Anticipated Weekly Hours 40 Time Type Full time Pay Range $92,700.00 - $203,940.00. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above. Legal Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement