Actuarial Analyst

CVS Health•Hartford, CT

5d•Hybrid

About The Position

We are seeking a highly motivated and collaborative professional to join the Medicare Network Performance Management team. This role plays a key part in shaping our Medicare network strategy through advanced actuarial modeling, performance analytics, and network curation. You will generate insights that inform provider selection, support strategic network design, and improve bid competitiveness. This is an entirely Medicare focused role surrounding delivering on our overarching Medicare network strategy. This role is part of the Aetna Business Operations Hartford Hiring Initiative and offers additional developmental opportunities. This may include leadership exposure, networking sessions, and Hartford-based events. This is a hybrid position with 3 days (generally Tuesday, Wednesday, and Thursday) in the Hartford, CT office location. The other 2 days each week will be working remotely from home, office, or another location of your choice.

Requirements

Able to work out of the Hartford, CT office
Proficiency in Excel and experience with programming (e.g., VBA, Python, or R).
Experience working with Microsoft Office Suite
Meet educational requirements (see education section)

Nice To Haves

Actuarial experience in healthcare or related setting is preferred
Familiarity with SQL and data visualization tools (e.g., Tableau, Power BI).
Demonstrated ability to collaborate across teams and deliver on complex projects
Exposure to CMS bid processes and actuarial pricing methodologies

Responsibilities

Develop and maintain actuarial models for network curation and bid optimization.
Build and enhance strategic analytics tools to support enterprise decision-making.
Communicate findings and recommendations to leadership and cross-functional teams.
Collaborate with internal and external teams to ensure alignment and actionable outcomes.
Support long-term growth strategies in the Medicare Advantage market through data-driven insights.
Apply divergent thinking for brainstorming and convergent thinking to drive execution and deliver results.