Manager, Actuarial - Individual Medicare Advantage

Job Description Join a high‑performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role is to perform pricing and analytic work to protect Aetna's financial integrity, collaborate with business partners to provide sound risk‑management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters. Leadership Manage personal and team resources efficiently to complete projects. Exhibit innovative use of resources. Provide input into decision‑making process. Exercise decision making within scope of authority. Act as mentor to newer or less experienced staff. Facilitate training and development opportunities. Product & Business Knowledge Demonstrate understanding of existing data sources and translate into appropriate assumptions and functional business information. Identify/suggest alternatives or improvements. Understand intradepartmental products, programs, processes and policies; identify and research problems and issues. Understand regulatory compliance issues. Risk Analysis & Management Work with supervisor to understand the nature of specific risks and share results of analysis with management. Compile and analyze filing data; prepare and submit necessary exhibits for regulatory filings. Provide technical support and analysis for planning, forecasting and reporting processes; make recommendations to supervisor. Develop and recommend pricing and trend for product and/or services; understand and communicate financial impact to supervisor. Technical Proficiency Develop creative technical solutions to a variety of problems; demonstrate spreadsheeting proficiency and familiarity with database and web‑based applications. Develop and implement appropriate tools and models. Recommend, implement and oversee maintenance and development of enhancements to processes, tools and systems; make suggestions to maximize efficiency. Develop and finalize business requirements or specifications for processes, tools, and systems. Test and oversee changes to processes, tools and systems. Communication, Collaboration & Consultation Represent area in multi‑functional workgroups. Respond to complex inquiries from internal constituents; create and maintain accurate documentation and develop training materials for tools and processes. Collaborate with internal and external constituents with limited direction. Required Qualifications Bachelor's degree with 3+ years of actuarial experience, strong communication skills, and excellent technical ability. Associate of the Society of Actuaries (ASA) or demonstrated progress toward actuarial credentials. Preferred Qualifications Medicare experience desired. Prior pricing experience. Government experience. Coding experience is a plus. Anticipated weekly hours: 40 Time type: Full time Pay Range The typical pay range for this role is: $92,700.00 – $203,940.00. This range represents the base hourly rate or base annual full‑time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above. Benefits Benefits for this position include medical, dental, vision coverage, paid time off, retirement savings options, wellness programs, and other resources based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. Application window will close on 07/10/2026. 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