CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

Large Group Pricing Actuary – CVS Health (Hybrid)

Lead large group pricing and trend forecasting at CVS Health, strengthening methodologies that support risk-aware decisions. Collaborate across health insurance functions to translate actuarial analysis into pricing recommendations.

Description

  • Support and advance the Gross to Net Trend function as a core part of forecasting and pricing
  • Assess gross and net trend drivers, including their financial impact and relative importance
  • Improve Gross to Net methodologies, assumptions, and modeling practices
  • Contribute to the monthly Gross to Net process by delivering timely analysis for pricing recommendations
  • Work with Finance, Underwriting, Product, Network, Contracting, Sales, and market leadership teams
  • Apply actuarial expertise to financial performance, forecasts, budgets, rate actions, filings, and strategic initiatives
  • Explain complex actuarial findings and pricing implications to technical and non-technical audiences
  • Build and strengthen trend analytics, documentation, and governance practices
  • Lead enhancements to trend methods, tools, and team knowledge
  • Advise senior leaders on trend drivers, pricing recommendations, risks, and tradeoffs
  • Track industry, competitive, regulatory, and macroeconomic developments
  • Prepare and present complex, high-profile actuarial work while owning final deliverables
  • Review work independently for accuracy, identify business risks, and develop recommendations
  • Lead or support departmental projects and process improvements, including automation and operational enhancements
  • Identify development needs and recommend, create, and deliver training solutions
  • Coach, mentor, and provide feedback to less experienced actuarial professionals
  • Potentially manage up to two actuarial professionals

Requirements

  • Bachelor’s degree and more than five years of actuarial experience
  • ASA (Associate of the Society of Actuaries) designation
  • Bachelor’s degree required
  • FSA (Fellow of the Society of Actuaries) designation or active progress toward FSA preferred
  • Ability to perform effectively in a continually changing environment with competing priorities and deadlines
  • Ability to work with key stakeholders to develop recommendations and courses of action
  • Ability to issue an Actuarial Communication under the Actuarial Standards of Practice
  • Advanced quantitative techniques and analytical methodologies
  • Strong understanding of actuarial principles and business operations

Benefits

  • Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay
  • Target award through the company’s equity award program
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Additional resources supporting physical, emotional, and financial well-being

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