Hartford, CT, US
3 days ago
Actuary - Behavioral Health

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Actuary for Behavior Health will support state filings/audits, mental health parity (MHP) testing and all QTL (Quantitative Treatment Limits) testing.  You will establish relationships with key stakeholders, subject matter experts and decision makers to effectively craft, implement and lead a suite of centralized activities that ensure timely, high quality mental health parity deliverables.

Must be able to communicate effectively across diverse teams, both verbally and in writing, and with all levels of the organization.

Responsibilities include MHP Focus:

Coordinate and program model updates annually with Behavior Health teamAssist in evaluating testing accounts for pass/fail for all Commercial areas including IFP, Small Group, Large Group and National AccountsAssist in coordinating answers to audits and with QTL (Quantitative Testing Limitations) as neededWork closely with the MHP and legal teams on audits and QTL updates by stateWork with AQC team to effectively roll out proactive testing in AQC to ensure that we build plans that passPerforming claim studies for any mandate changes—what mandate changes could impact MHP testing guidelinesAbility to sign legal attestation as a credentialed actuary


Required Qualifications

Bachelor's degree along with 3+ years of actuarial experienceASA is strongly preferred or almost at ASA designationWorking Knowledge of Mental Health Parity QTL testingStrong VBA skills requiredStrong written and verbal skills to communicate with internal and external legal, state representatives and all levels of the organizationMust possess robust analytical skills



Preferred Qualifications

ASAprior mental health parity experienceAQC background is helpfulmedical benefits knowledge is preferred


Education

Bachelor's degree
 

Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 10/18/2024

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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