Actuary - Medicare Part D

CVS Health • Hartford, OK

4d

About The Position

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.

Requirements

• 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

Nice To Haves

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

Responsibilities

• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level