Senior Actuary - Cost Growth Benchmarking

CVS Health • Hartford, CT

14d

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 The National Medical Cost Analytics team is looking for an actuarial professional to support Aetna’s medical cost benchmarking and reporting. In this role, you’ll work with internal teams and state regulators to explain what’s driving medical cost trends at both the national and state levels. You’ll translate complex data into insights that leaders can use to make decisions. This is a fast‑paced role with exposure to teams across actuarial, finance, product, network, compliance, pharmacy, and state regulatory groups. Strong communication skills are essential since you’ll regularly present findings to senior leadership.

Requirements

• Knowledge of: Key managed care areas such as provider contracting, benefit design, and medical management.
• The competitive landscape and regulatory environment for Managed Care Organizations.
• Skills in: Analytical thinking and problem‑solving
• Organization, project management, and leadership
• Strong written and verbal communication
• Leading change and influencing senior stakeholders
• Requirements: Bachelor’s degree and 5+ years of relevant work experience
• ASA or FSA designation
• Healthcare experience (Commercial, Medicare, or Medicaid preferred)
• Ability to turn data into a clear, compelling story
• Ability to manage multiple priorities
• Strong critical thinking, initiative, and collaboration skills

Nice To Haves

• Understanding of Commercial and Government (Medicare and Medicaid) product strategies

Responsibilities

• Analyze and explain national and state medical cost trends using various data sources.
• Build strong partnerships with Finance, Actuarial, Market, and Compliance leaders.
• Develop new reports, exhibits, and presentations for recurring internal and external meetings.
• Stay informed about economic, demographic, and regulatory factors that influence Aetna’s costs.
• Support enterprise initiatives aimed at reducing medical cost pressures.
• Use tools like SQL, GCP, VBA, R, SmartView, ThoughtSpot, and Microsoft Office to improve reporting and processes.
• Help implement new technologies, including the ADAM cloud platform and daily claims data tools.
• Present complex data in a clear, executive‑friendly way to senior leaders.

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: Senior