This position within the VAULT (VBC Actuarial & Underwriting Leading Transformation) organization 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) in plan sponsors portfolio of medical plan offerings. This position will involve exposure to many different areas of Aetna’s 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 in VAULT (VBC Actuarial & Underwriting Leading Transformation) organization 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 Aetna’s 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 VBC strategy in the following areas:
Creation of and presentation of pricing, customer quoting, and risk sharing materials to VBC constituents including ACO 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.
Bachelor’s degree along with 5+ years of related experience
Associate of the Society of Actuaries is required
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
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, Society of Actuaries is desired
Functional – Actuarial/Financial actuarial analysis/4-6 Years
Functional – Actuarial/Modeling & tool development/4-6 Years
Functional – Actuarial/Underwriting case work/1-3 Years
Technical – Database/Microsoft Access/4-6 Years/Power User
Technical – Desktop Tools/TE Microsoft Excel/4-6 Years/Power User
General Business/Communicating for Impact/ADVANCED
General Business/Turning Data into Information/ADVANCED
Leadership/Collaborating for Results/ADVANCED
Finance/Managing Aetnas Risk/ADVANCED
General Business/Maximizing Work Practices/ADVANCED
Flexible telework / office-based schedule (can live near any office location)
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 candidates’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.
- Experience Level Junior
- Total Years Experience 0-5
- dress code option-1