Aetna Actuary I in Hartford, Connecticut

Req ID: 47519BR

POSITION SUMMARY

This position within the Value Based Contracting Center of Excellence focuses on actuarial and underwriting needs to support and promote the growth of Accountable Care Organizations (ACOs), Joint Venture Partnerships (JVs), and other Value Based Contracts (VBCs). This position will involve exposure to many different areas of Aetnas commercial business while working on the cutting edge of provider relationships. The candidate must be willing to work in a fast paced, dynamic, and rapidly changing environment.

Fundamental Components:

This position in Value Based Contracting Center of Excellence will help increase focus on actuarial and underwriting needs to support and promote the growth of Accountable Care Organizations (ACOs), Joint Venture Partnerships (JVs), and other Value Based Contracts (VBCs) in plan sponsors portfolio of medical plan offerings.

This position will involve exposure to many different areas of Aetnas commercial business while working on the cutting edge of provider relationships. The candidate must be willing to work in a fast paced, dynamic, and rapidly changing environment. This position will support the organization's strategy in the following areas:

Creation of and presentation of pricing, customer quoting, and risk sharing materials to VBC constituents including providers and Self-Insured customers

Work closely with Medical Economics consultants in the creation and review of financial reconciliations for provider partners; contribute to the development and design of new tools to support the entire process

Involvement in ad hoc work related to the ongoing evolution of the ACO/JV business model, including researching potential methodology changes, development and creation of new tools, and development of marketing materials

As an expert on value based reconciliations, you will be responsible for developing and implementing actuarial and underwriting policies and procedures and providing case specific guidance/support.

BACKGROUND/EXPERIENCE desired:

Bachelor's Degree along w/5+ years of related experience

ASA (Associate of the Society of Actuaries) required, FSA desired

Excellent written and verbal communication skills

Provide superior customer service to both internal and external constituents

Thrive in a constantly evolving environment with competing priorities and deadlines

Problem solving skills are critical as many of the concepts are new or in development

EDUCATION

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

LICENSES AND CERTIFICATIONS

Actuarial/Associate of the Society of Actuaries is required

Actuarial/Fellow of the Society of Actuaries is desired

Actuarial/American Academy of Actuaries is desired

FUNCTIONAL EXPERIENCES

Functional - Actuarial/Pricing: local market & rate filings/1-3 Years

Functional - Actuarial/Modeling & tool development/4-6 Years

Functional - Actuarial/Financial actuarial analysis/4-6 Years

Functional - Actuarial/Underwriting case work/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Database/Microsoft Access/4-6 Years/Power User

Technical - Database/UNIX/AIX/1-3 Years/

Technical - Desktop Tools/TE Microsoft Excel//Power User

ADDITIONAL JOB INFORMATION

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

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.

Job Function: Actuarial