Manager, Actuarial
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. CVS Health is seeking a creative, analytical, and collaborative actuarial professional to support Self-Funded EGWP clients. This role is responsible for developing projections, analyzing business performance, evaluating the impact of evolving Medicare Part D regulations, and conducting Book of Business (BOB) studies to support client and enterprise decision-making. The successful candidate will partner closely with Sales, Rebate Operations, Underwriting, Clinical, Formulary, and the broader Medicare Part D team to deliver insights and solutions that help meet client needs and business objectives. This individual will apply actuarial and analytical skills to complex business questions while contributing to pricing, forecasting, and strategic initiatives. Strong communication skills are essential, as this role requires effectively translating technical concepts and regulatory changes for a variety of audiences, including internal stakeholders and client-facing teams. The ideal candidate is curious, adaptable, and able to work collaboratively across functions to support both EGWP clients and the broader organization.
Requirements
- Bachelor's Degree required with 3+ years of actuarial, statistics or programming, and/or relevant finance background
- Strong communication skills
- Strong analytical skills
Nice To Haves
- Coding Experience.
- Knowledge of pharmacy benefits and formularies.
Responsibilities
- Help develop pricing strategies and money-saving options that align with customer needs
- Support analysis related to Medicare Part D reform and help educate business partners on potential impacts
- Partner with Underwriting, Sales, and Account teams on complex new business and renewal cases.
- Meet with clients, as needed, to explain economic implications and pricing considerations
- Complete and/or oversee studies used to set assumptions in pricing models
- Deliver timely, accurate, and high-quality analyses and recommendations
- Work independently while collaborating effectively across teams
- Identify issues that could materially affect financial results and develop sound, unbiased recommendations
- Apply technical expertise and critical thinking to solve business problems
- Mentor less experienced team members and support team development
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
