Senior Actuary - Rx Analytics

CVS Health•Hartford, CT

2d•$130,295 - $260,590

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 Actuarial Senior Manager is responsible for collaborating with peers and matrix partners to develop insights into Aetna’s prescription benefits businesses. The role partners with actuarial, finance, business, and operational teams to: Identify and anticipate trends impacting pharmacy benefits Consolidate pharmacy trend projections and reporting across the Commercial, Medicare, and Medicaid businesses Understand and explain why trend projections differ across businesses – and may differ from industry or competitor projections Effectively communicate emerging pharmacy claims results, forecasts, and drivers of changes in outlook Develop unbiased assessments of the impact of legislative, regulatory, and environmental changes on the pharmacy businesses Develop analytical processes to provide guidance to enterprise leadership Evaluate the impact of environmental factors on pharmacy claims costs and potential interactions with medical costs and patient outcomes The successful candidate will: Thrive in a rapidly-changing environment Identify and advocate for opportunities to improve pharmacy analytics and reporting Understand how to align business strategies with competitive and regulatory constraints Effectively collaborate across a complex, matrixed organization

Requirements

5+ years of actuarial experience
Strong communication and problem-solving skills
Demonstrated analytical skills and attention to detail
Ability to succeed in a fast-paced, rapidly evolving workplace

Nice To Haves

ASA or FSA desired
Prior pharmacy knowledge or experience
Experience working in complex, matrixed organizations

Responsibilities

Identify and anticipate trends impacting pharmacy benefits
Consolidate pharmacy trend projections and reporting across the Commercial, Medicare, and Medicaid businesses
Understand and explain why trend projections differ across businesses – and may differ from industry or competitor projections
Effectively communicate emerging pharmacy claims results, forecasts, and drivers of changes in outlook
Develop unbiased assessments of the impact of legislative, regulatory, and environmental changes on the pharmacy businesses
Develop analytical processes to provide guidance to enterprise leadership
Evaluate the impact of environmental factors on pharmacy claims costs and potential interactions with medical costs and patient outcomes
Thrive in a rapidly-changing environment
Identify and advocate for opportunities to improve pharmacy analytics and reporting
Understand how to align business strategies with competitive and regulatory constraints
Effectively collaborate across a complex, matrixed organization