Actuarial Consultant

Aetna Inc. Hartford, CT
Job Description

POSITION SUMMARY

This position supports Aetna Pharmacy Managements ability to achieve its financial and strategic goals by applying analytic expertise to address complex business issues. The successful candidate will be responsible for supporting contract review, database development, financial reconciliations, financial planning, forecasting and reporting activities for the Commercial Pharmacy ASC business. In addition, this role will provide analytic support to various pharmacy strategic initiatives and client-level financial management activities.

Fundamental Components:

* Assist in the development of new analytic tools and processes to support evolving business needs

* Conduct variance analysis and provide input into monthly operating reviews

* Participate in and provide analytic support to various business segment strategic initiatives

* Become adept at using various tools, processes and systems used to support effective planning and forecasting

* Produce accurate, timely reporting and analysis of Commercial ASC business results

* Support development of business plans and forecasts related to Aetna Pharmacy's Commercial ASC business

BACKGROUND/EXPERIENCE desired:

Strong financial analysis, reasoning, and analytic skills

* Demonstrated competency working with large data sets in a healthcare setting

* Proficiency with Microsoft Access and Excel; programming experience helpful

* 1-3 years of experience in a similar role within the PBM or healthcare industries

* Knowledge of pharmacy benefits underwriting, contracting, and financial management processes

EDUCATION

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

FUNCTIONAL EXPERIENCES

Functional - Finance/Financial analysis/1-3 Years

Functional - Finance/Financial Planning/1-3 Years

Functional - Underwriting/Quality management / auditing/1-3 Years

Functional - Project Management/Cross-functional project management/1-3 Years

TECHNOLOGY EXPERIENCES

Technical - Aetna Applications/Managed Care Monitor/1-3 Years/Power User

Technical - Operating Systems/Windows NT/1-3 Years/Power User

Technical - Database/Microsoft Access/1-3 Years/Power User

REQUIRED SKILLS

General Business/Turning Data into Information/FOUNDATION

Finance/Profit and Quality Vigilance/FOUNDATION

Finance/Managing Aetnas Risk/FOUNDATION

DESIRED SKILLS

Technology/Leveraging Technology/FOUNDATION

General Business/Demonstrating Business and Industry Acumen/FOUNDATION

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.