Actuary - Medical Pharmacy, CVS Health

CVS Health

Location:
United States

Category:
IT - Software Development

Contract Type:
Employment contract

Salary:

Not provided

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Job Description:

This is a key strategic role responsible for supporting medical pharmacy performance and profitability on the Aetna pharmacy team by driving high-performance med Rx management across all Aetna lines of businesses. The role involves collaborating closely with various actuarial and other cross-functional teams, managing the preparation of medical pharmacy business cases, and optimizing performance.

Job Responsibility:

Manage medical Rx trend reporting that provides senior leadership standardized, meaningful, and transparent reporting into performance of the pharmacy business
Leverage various internal and external data sources to quantify risks/opportunities
Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to cross-functional workgroups
Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice and optimize enterprise value
Analyze medical pharmacy trend drivers and determine opportunities to drive to low cost of care
Develop strategic relationships with all Aetna LOBs to create transparency and inform trend and forecast projections
Develop creative technical solutions to incorporate efficiencies into daily work
Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to senior leaders on valuation

Requirements:

Bachelor's degree along with 3+ years of relevant experience
Strong communication skills
Ability to think creatively and use multiple data sources to assess and develop business strategies
Ability to effectively manage multiple priorities
Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business
Experience with large and detailed data sets
Must have actuarial exams passed (near ASA)

Nice to have:

Experience in SAS or similar programs
Experience in pharmacy or medical pharmacy-related work
ASA credential
Knowledge of different Aetna segments and how unique components within each LOB impact P&L

What we offer:

Affordable medical plan options
401(k) plan including matching company contributions
employee stock purchase plan
No-cost programs for wellness screenings, tobacco cessation, weight management programs
confidential counseling
financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
May 14, 2025

Expiration:
June 30, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Actuary - Medical Pharmacy