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Senior Actuary

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Hartford

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Category:
Finance

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Contract Type:
Employment contract

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Salary:

130295.00 - 260590.00 USD / Year

Job Description:

This role is focused on determining and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript’s Medicare Part D and other government services pharmacy business. Use clinical knowledge and financial modeling to drive discussion and decisions on formulary coverage to ensure formulary strategy protects financial integrity and prevents anti-selection within the Medicare business. Forecast formulary impacts to pricing and profitability of Part D products. Engage in strategic discussions to ensure rebate contracting strategy maximizes financial value and minimizes expected claims costs. Collaborate with business partners in Clinical, Finance, Trade, Product and other Actuarial functions to achieve desired results. Involvement with other projects dealing with pharmacy and Medicare Part D will also occur.

Job Responsibility:

  • Take full ownership of assigned projects, manage to overall deadlines and complete tasks independently while collaborating with others
  • Possess and leverage strong communication and networking skills to effectively negotiate and collaborate across teams and business areas
  • Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others
  • 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

Requirements:

  • Bachelor’s degree along with 5+ years related experience
  • ASA or FSA required
  • Experience with Microsoft Office suite, especially Excel
  • Experience with SQL, working with large and detailed data sets
  • Strong communication skills
  • Demonstrated success in providing strong technical guidance and leadership direction
  • Demonstrated success in collaborating with others to meet/exceed expectations

Nice to have:

  • Previous Medicare Part D or pharmacy experience a strong plus
  • Experience with SAS, R, Python a plus
What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs including wellness screenings, tobacco cessation programs, 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:
May 07, 2025

Expiration:
June 30, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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