Lead Director, Actuarial-Cred
Core
Lead actuarial forecasting and trend analysis for CVS Health and Aetna's Medicaid business to ensure financial integrity and support rate advocacy.
Role type
Director, Actuarial (Medicaid)
Builds
Financial forecasts, budget models, and trend projections for Medicaid managed care.
Domain
Health Insurance / Medicaid / Actuarial Science
Deliverable
production ML models | dashboards & analysis
Required skills
Actuarial forecasting, trend analysis, budget modeling, assumption development, financial experience evaluation, process automation, resource allocation, team leadership, critical thinking, coaching
Preferred skills
Commercial/Medicare/Medicaid experience
Technologies
SAS, SQL, Python
Responsibilities
Lead budget and forecast storytelling for the Medicaid business; oversee forecast model development and improvement; drive forecast-related analysis including key assumptions and trend drivers; review budgets and forecasts from a business perspective; identify and support process improvement through automation; manage high-visibility complex projects; support trend storytelling and prospective trend development; track and normalize trends across diverse Medicaid footprint; drill into trend drivers to support managed care savings development; provide medical expense review support; analyze program changes based on State-directed and internal benefit design changes; coach and mentor team members in technical skills development.
