Senior Actuary - Medicare Advantage

CVS Health • Atlanta, GA

2d

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 actuarial leader is responsible for overseeing the development, validation, and delivery of key medical cost assumptions used in annual pricing and bid development for Individual Medicare Advantage. This role ensures all assumption models are completed accurately and delivered on time to the actuarial pricing team. The leader will collaborate closely with cross‑functional partners to confirm data integrity, review adjustments, and validate projection reasonability. In addition, the leader will ensure all medical cost assumptions are CMS compliant and account for regulatory changes. Operating with a high degree of autonomy, the individual will manage and coordinate work across a team of supporting actuaries, ensuring alignment, quality, and timely execution. Strong communication skills are essential, as this role regularly presents results, insights, and recommendations to actuarial and business leadership.

Requirements

• Bachelor's degree along with 5+ years of actuarial experience
• Associate of the Society of Actuaries (ASA)
• Member of the American Academy of Actuaries (MAAA)
• Healthcare background
• Proficient in MS Excel
• Experience with SAS and SQL is desired
• Strong communication skills

Nice To Haves

• Experience with Medicare Advantage products
• Fellow of the Society of Actuaries

Responsibilities

• overseeing the development, validation, and delivery of key medical cost assumptions used in annual pricing and bid development for Individual Medicare Advantage
• ensuring all assumption models are completed accurately and delivered on time to the actuarial pricing team
• collaborating closely with cross‑functional partners to confirm data integrity, review adjustments, and validate projection reasonability
• ensuring all medical cost assumptions are CMS compliant and account for regulatory changes
• managing and coordinate work across a team of supporting actuaries, ensuring alignment, quality, and timely execution
• presenting results, insights, and recommendations to actuarial and business leadership

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.
• For more information, visit https://jobs.cvshealth.com/us/en/benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Number of Employees: 5,001-10,000 employees