About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary This position supports the financial models design, metrics, and targets for Medicare Specialty Value Based Care (VBC) Contracts. The role will use Actuarial modeling to understand the value created and the amount of risk associated with various financial adjustments to support the development of new models and support expansion of existing models to new partners and geographies.

Requirements

  • Passed at least 2 actuarial exams
  • 2-5 years of actuarial experience in a healthcare setting
  • Proficient in Excel, some programming experience
  • Demonstrated success in collaborating with others

Nice To Haves

  • Experience in Medicare
  • Experience with SQL

Responsibilities

  • Prepare routine to moderately complex data manipulation to support baseline target setting.
  • Collaborate with various business units and levels of leadership both internal and external.
  • Applies sound actuarial judgement, draws conclusions from their analysis and develops recommendations to inform key decision makers
  • Provide input into performance monitoring and contract language to ensure appropriate financial checks are enforced
  • Communicate performance results and formulate recommended changes to stakeholders
  • Assists department with projects or workgroups.
  • Identifies and supports process improvement through automation or process change.

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.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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