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Position Summary

Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business.  The primary focus is the pharmacy product strategy and pricing of MAPD, SNP and PDP Products.

This role will focus on developing health care solutions for Medicare Part D members. The colleague provides actuarial support to ensure business strategy achieve optimal outcomes within the Medicare Advantage and PDP Markets.  The colleague will work with business partners to lead analysis, reporting and process development related to pricing and bid development activities, regulatory compliance,  competitive analysis, and risk-revenue analysis. 

The colleague will:

• Lead collaboration with business partners to analyze the impact of proposed legislative or regulatory reform and implement required changes in pricing activities. 
• Collaborate with cross-functional business partners in Actuarial, Finance, Product, Growth Analytics, Government Affairs, and Underwriting to achieve desired results
• Take full ownership of assigned projects, manage and collaborate with others to meet deadlines and achieve goals
• Effectively communicate, collaborate, and share results across teams
• Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others, influencing matrix partners
• Anticipate and recognize matters that materially affect financial results and develop sound, unbiased recommendations on how to resolve these matters
• Leverage strong technical skills and critical thinking to design and achieve business solutions
• Influence Tool Development to improve efficiency and accuracy

Required Qualifications

• Bachelor’s degree along with 5+ years related experience
• ASA or near ASA
• Prior actuarial exams passed and willing to consider non-credentialed track
• Prior healthcare experience
• Experience with Microsoft Office suite, especially Excel
• Experience working with large and detailed data sets
• Strong communication and collaboration skills
• Solid technical/analytical skills and attention to detail

Preferred Qualifications

• Previous Pharmacy or Medicare Part D experience
• FSA designation
• Experience with SAS, SQL, R, Python

Pay Range

The typical pay range for this role is:

$67,900.00 - $182,549.40

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.  This position also includes an award target in the company’s equity award program. 
 
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: 10/04/2024

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