Hardik Shah

Actuarial Analyst @Aetna, A Cvs Health Company

Chicago, IL, US

Actuarial Analyst - Medicare Advantage at CVS/AetnaAs an Actuarial Analyst in the Medicare Advantage department at CVS/Aetna, I specialize in analyzing and optimizing our Medicare Advantage plans to ensure they meet the needs of our members while maintaining financial sustainability. My key responsibilities include:Risk Assessment: Conduct in-depth risk analyses specific to Medicare Advantage populations, utilizing predictive modelling to evaluate financial risks and opportunities.Data Analysis: Applying advanced statistical techniques and actuarial software to analyze large datasets, identifying trends and insights critical to the success of our Medicare Advantage plans.Pricing and Reserving: Collaborating with cross-functional teams to develop competitive premium rates and establish reserves that ensure the financial stability of our Medicare Advantage offerings.Bid Preparation: Assisting in the preparation and submission of annual Medicare Advantage bids, ensuring compliance with CMS guidelines and optimizing plan design for both competitiveness and cost-effectiveness.Financial Reporting: Preparing comprehensive reports and presentations for senior management, translating complex actuarial data into actionable strategies to improve plan performance.Regulatory Compliance: Ensuring all actuarial practices within the Medicare Advantage department adhere to regulatory requirements and industry standards, maintaining accuracy and integrity.Cross-functional collaboration: Working closely with underwriters, healthcare providers, and policymakers to refine and enhance our Medicare Advantage products, improving member satisfaction and business outcomes.Through my role, I am committed to enhancing the value and performance of our Medicare Advantage plans, contributing to the overall mission and success of CVS/Aetna.

University of Houston

Bachelor's degree, Mechanical Engineering

Indiana University East

Bachelor of Applied Science - BASc, Mathematics