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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role will be to perform pricing and analytic work in support of Medicare bid filings and the department mission to protect Aetna's financial integrity, collaborate with business partners to provide sound risk management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters.
Actuarial Responsibilities Include:
- Support Medicare bid filing development, analysis, and submission activities.
- Compile and analyze filing data and prepare exhibits for regulatory filings.
- Develop and recommend pricing and trend assumptions for Medicare Advantage products and services.
- Provide technical support and analysis for planning, forecasting, and reporting processes.
- Analyze financial results and communicate business impacts and recommendations.
- Work with leadership to understand business risks and share analytical findings with management.
- Translate data into actuarial assumptions and actionable business insights.
- Support ongoing evaluation and enhancement of pricing methodologies and business processes.
Technical Responsibilities Include:
- Develop creative technical solutions to a variety of actuarial and business problems.
- Build, maintain, and enhance actuarial tools and models.
- Demonstrate advanced spreadsheet proficiency and familiarity with database and web-based applications.
- Recommend and implement process, tool, and system enhancements to maximize efficiency.
- Develop business requirements and specifications for actuarial tools and processes.
- Test and support changes to actuarial models, tools, and systems.
- Identify opportunities for automation and process improvement.
Collaboration & Leadership Responsibilities Include:
- Manage personal resources effectively to meet project timelines and deliverables.
- Provide input into decision-making processes and exercise sound judgment within scope of responsibility.
- Support and mentor less experienced team members.
- Participate in training and development activities.
- Represent the actuarial team in cross-functional workgroups.
- Respond to complex inquiries from internal stakeholders.
- Create and maintain documentation, process materials, and training resources.
- Collaborate with internal and external business partners to support departmental objectives.
Required Qualifications:
- 2+ years of actuarial experience.
- Progression toward Associateship in the Society of Actuaries (ASA), including at least two actuarial exams passed.
- Strong analytical and problem-solving skills.
- Experience working with complex data and developing business insights.
- Ability to communicate technical findings and recommendations effectively.
- Bachelor's degree or equivalent experience.
Preferred Qualifications:
- Medicare Advantage experience.
- Experience with pricing, forecasting, trend analysis, or regulatory filings.
- Experience developing actuarial models and analytical tools.
- Familiarity with database and reporting applications.
Education:
- Bachelor's degree or equivalent experience.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$64,890.00 - $158,620.00This 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. Â The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Â This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Â
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Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
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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