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Actuary - Rx Strategy & Pricing

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Insurance

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Contract Type:
Employment contract

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Salary:

92700.00 - 203940.00 USD / Year

Job Description:

Support CVS Health's financial integrity through support of the Commercial Health Plan pharmacy business. This will be achieved through developing and evaluating formulary strategy, and performing complex studies to support pharmacy rating methodology, product analysis, and analysis of legislative impacts. Will also be responsible for developing reporting to track emerging trends and identify actionable insights.

Job Responsibility:

  • Evaluate Commercial formulary strategy through assessing the impact of changes in drug tier and utilization management techniques to utilization, rebates, and Gross costs
  • Assess financial impact of potential product solutions
  • Assess financial impact of changes to formulary coverage per legislation or changes to company policy
  • Present findings and make recommendations to audiences including senior leadership and representation from cross functional teams
  • Coach more junior colleagues

Requirements:

  • Bachelor's degree along with 3+ years of actuarial experience
  • Prior healthcare experience is required
  • Strong technical skills
  • Excel and coding experience
  • Actuarial exams passed (or ASA)
  • Able to drive to conclusion multiple projects ranging in complexity and duration
  • Excellent communication skills, both written and oral
  • Ability to perform independent research and develop an internal network to obtain information as needed
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and 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:
October 03, 2025

Expiration:
November 28, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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