Actuary

• Provide financial tools and analytics to support network strategy aligned with market and business growth priorities
• Develop in-depth knowledge of market dynamics and build cross-functional relationships with network, MEU, and commercial actuarial teams
• Develop a quarterly, market-level discount review process
• Inform Regional Leads and Chief Network Officers about benchmarking changes, gaps, and pressured areas for future negotiations
• Provide field information on the impact and timing of new negotiations
• Drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health
• Support Aetna Whole Health / APCN Plus, joint ventures, and narrow network pricing across Commercial market segments
• Validate and refine pricing using trend, PCRs, and area factors during Large Group Rate Review
• Build tools and analyses supporting Priority Markets and Strategic/Enhanced Providers
• Address state-specific standard contracts by selecting a competitive fee schedule consistent across state lines

Senior Actuary – Network

• Support Medicaid-wide analyses and reporting as part of the Medicaid Strat team
• Work with Medicaid Plan actuaries to identify opportunities for new or refined analyses relevant to multiple markets
• Standardize current Plan-level reporting
• Automate existing Medicaid team reporting
• Support Medicaid Health Plans and Medicaid Finance in Requests for Proposals (RFPs) for new and renewing business
• Build skills necessary to become a well-rounded actuary
• Build models and clearly communicate analysis results to technical and non-technical audiences

Actuary jobs in Texas

Senior Actuary – Network

Senior Analyst, Actuarial