Executive Director Actuarial - Healthcare Delivery - Military Veterans
at CVS Health
CVS Health
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
Provides oversight of actuarial functions within our Healthcare Delivery businesses. Works in close collaboration with business actuaries, finance, and business leaders to ensure financial integrity of strategies, forecasts, pricing models, and provider performance tools. Supports oversight and peer review of national outside actuarial firms. Manages a senior analyst and collaborates with business actuaries and members of the enterprise pricing team.
For our provider enablement business (CVS Accountable Care, including ACO Reach and MSSP):
* Collaborates with business actuaries in the oversight of national outside actuarial firms to ensure integrity of forecasts and pricing tools and development of independent internal financial projections
* Works with business actuaries to leverage tools of outside actuarial firms to develop high quality forecasting and provider performance internal models
* Collaborates with finance to ensure the financial integrity of business strategies, forecasts and risk contracts
* Works with business actuaries and business leaders to drive the run rate performance of our provider partners to achieve our financial commitments; identifies areas where performance is not on plan and develops remediation plans that can be executed and tracked
* Stays current with regulatory changes that impact benchmark reimbursement, contract structure, and other financial levers of the business; develops strategies to optimize financial results
For our Medicare Advantage provider-based business (Oak Street Health and value-based services):
* Supports evaluation of medical trends, revenue coding accuracy, payor performance, and adequacy of payor reimbursement; identifies areas to improve run rate performance of the business
* Stays current with regulatory changes that impact CMS reimbursement levels, bidding strategies, and additional liabilities for MAPD and advises management in ways to optimize financial results
* Collaborates with business partners and finance in the financial evaluation of new strategic directions, including clinical programs
Required Qualifications
- 15+ years of actuarial work and leadership
- Experience in actuarial aspects of Traditional Medicare FFS programs or Medicare Advantage
- Experience in leadership of others in broad-based problem solving to an improved financial outcome
- Experience in effectiveness communicating complex concepts and driving consensus among stakeholders
- Experience in execution and delivery (planning, delivering, and supporting) skills
- Experience in business intelligence
- Experience in collaboration and teamwork
- Experience in growth mindset (agility and developing yourself and others) skills
- FSA or ASA (Fellow of the Society of Actuaries or Associate of the Society of Actuaries)
Preferred Qualifications
- Actuarial leadership experience with provider delivery and enablement systems and traditional Medicare Fee-for-Service (FFS) programs, e.g., ACO Reach and MSSP
- Ability to work Hybrid Model (in office Tuesday / Wednesday /Thursday)
Pay Range
The typical pay range for this role is:
$131,500.00 - $303,200.00
This pay 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. This position also includes an award target in the company's equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ('PTO') or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Hartford, CT
At CVS Health we are transforming health care with a shared purpose: Bringing our heart to every moment of your health™
With 300,000 dedicated colleagues including veterans, service members, Guard and Reserve, and military spouses, we are improving the health of communities across America.
We recognize the value of military service and know that the skills and experience our nation's veterans and military spouses possess are unparalleled. As a CVS Health colleague, you’ll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone’s life, including your own.
As an enduring partner with Military Spouse Employment Partnership for 20 years, we’re committed to providing long-term career potential, opportunity, and support for military spouses.
Corporate Fellowship Programs
Transitioning Service Members - For transitioning service members and Coast Guardsmen within 180 days of separation from service interested in SkillBridge programs, please reach out to YourNextMission@CVSHealth.com to learn about the career tracks that we host participants in.
Accommodation Statement
We provide reasonable accommodations to individuals with disabilities as needed. To request an accommodation – including a qualified interpreter, written information in other formats, translation or other services – please email AdviceandCounsel@cvshealth.com or call 877-805-9511. If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
EEO Statement
CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT.
Military Spouses - We offer programs throughout the year and have partnered with Hiring Our Heroes to offer a 12-week paid fellowship for military spouses. During this time, you will receive professional training and hands-on experiences across CVS Health enterprise to quickly build your network and showcase your skillset. If you are interested in Military Spouse Fellowship programs, please reach out to our partners at Hiring Our Heroes.