Actuary - Medicare Part D

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.

Position Summary

Join a dynamic, high-performing actuarial team supporting CVS Health and Aetna’s government services pharmacy business.

This role is primarily responsible for modeling pharmacy network contracting arrangements for Aetna’s Medicare Part D business and providing actuarial support to key business partners.

The colleague will:

• Support development and maintenance of models and processes to assess network contracting strategies and performance against expectations.
• Work with business partners (including those in the PBM and Enterprise Pricing) to understand the details of network contracting strategies and convert these details into financial projections/modeling.
• Support development of pharmacy network assumptions for Aetna’s Medicare Part D bids and forecasts.
• Partner with the teams maintaining Part D pricing and forecasting models to ensure alignment on the best approach to modeling network terms/assumptions.
• Effectively balance and manage competing priorities.
• Act as a subject matter expert on assigned projects and concepts.
• Leverage technical skills and critical thinking to design and achieve business solutions.

Required Qualifications

• Bachelor’s degree along with 3+ years related experience
• Prior healthcare experience required
• ASA or near-ASA (Associate of the Society of Actuaries)
• Experience with Microsoft Office suite, especially Excel
• Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required
• Strong communication skills
• Solid technical/analytical skills and attention to detail
• Ability to thrive in a constantly evolving environment with competing priorities and deadlines

Preferred Qualifications

• Prior Pharmacy, Part D, or Medicare Advantage experience
• ASA

Education

• Bachelor's Degree

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

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