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at Aetna Inc.
-Primary responsibility is to support pricing initiativesand develop/assess market strategy in the changing 51-300 segment for NewEngland, NY/NJ, MN/AZ and Great Lakes markets.
-Areas of focus include Aetna Funding Advantage (AFA),assessing risk-based pricing levers, assessing product strategies, andreviewing narrow network pricing.
-Support New England, NY/NJ, MN/AZ and Great Lakes marketsduring Select segment market deep dives, partnering with Product, Sales,Finance, Underwriting and the market president.
-Perform studies of risk analytics.
-Understand competitive positioning/intelligence and use toinfluence product and pricing strategies.
-Assist with key actuarial priorities, including forecastingand reserve analysis.
-May assist in pricing for New York SG ACA market withsignificant membership, as well as emerging Professional Employer Organizations(PEOs)
Full or Part Time
Percent of Travel Required
0 - 10%
Posting Job Title
Potential Telework Position
Primary Location (City, State)
Aetna is an Equal Opportunity, Affirmative Action Employer
Additional Job Information
Key Competencies Required:
-Solid technical/analytical skills and attention to detail.
-Ability to think creatively and use analytics to solve
-Customer-focused mindset and willingness to address
concerns of key market partners.
-Ability to understand complex concepts and communicate
effectively to both technical and less-technical audiences.
-Comfortable working in a fast-paced environment and can
effectively manage multiple priorities.
-Able to work effectively in a team setting and
- Management of Resources-
Successfully manage projects and initiatives to conclusion. Exhibit innovative
use of resources.
- Scope of Decision Making-
Exercise decision making within scope of authority.
- Aetna Way- Exhibit behavior
that reflects Aetna’s values and is in accordance with the Aetna Way.
Product & Business
- Assumptions & Data
Sources- Demonstrate understanding of existing data sources. Proactively seek
out new data sources to support/challenge existing assumptions and recommend
alternatives/improvements as necessary.
- Programs, Policies &
Processes- Demonstrate understanding of interdepartmental products, programs,
processes and policies; research problems and issues and suggest resolution.
- Regulatory Issues-
Demonstrate understanding of regulatory compliance issues.
Risk Analysis &
- Risk Assessment- Demonstrate
in-depth understanding of specific risks. Share results of analysis with
- Reserve Analysis- Analyze
claim data and make recommendations for appropriate reserve levels.
- Planning & Forecasting-
Oversee technical support and analysis for planning, forecasting and reporting
process. Make recommendations to management.
- Pricing, Trend & Benefit
Design- Oversee development of pricing and trend for product and/or services.
Understand and communicate financial impact to management.
- Use of Technology- Develop
creative technical solutions to a variety of problems. Stay apprised of
technical innovations as potential solutions for actuarial issues and concerns.
- Constituent Focus- Represent
actuarial /serve as project team lead on interdepartmental teams to shape
process and policy.
- Verbal and Written Communication-
Address complex inquiries. Prepare communications for internal and external
constituents. Maintain accurate documentation and manage training and user
support for tools and processes. Interaction with Constituents
- Independently collaborate
with internal and external constituents.
Bachelor's degree along with 5+ years relevant experience.
Must be an ASA or FSA and is typically a member of the American Academy of Actuaries (or other accredited actuarial organization) able to sign state rate filings and other required actuarial certifications.
Strong communication skills
Healthcare experience is desired
General Business - Communicating for Impact, General Business - Turning Data into Information, Leadership - Collaborating for Results
Minimum Functional Experience
Actuarial - Financial actuarial analysis, Actuarial - Risk analysis/management
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.
Candidate Privacy Information
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