Sr Analyst, Actuarial

CVS Health • Hartford, CT

1d

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. A Brief Overview Performs actuarial functions by applying expanded quantitative skills and analytical methodologies. Leverage strong technical skills to recommend solutions and demonstrate and advanced understanding of actuarial concepts and business acumen. Set own priorities within pre-established overall deadlines. Complete tasks independently with some direction from supervisor.

Requirements

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

Nice To Haves

• Experience in Medicare

Responsibilities

• Develops and communicates pricing models and strategies for Actuarial (ADP) healthcare insurance products and services.
• Develops and validates actuarial assumptions, methodologies, and models by ensuring adherence to actuarial standards and guidelines, such as those set by the Society of Actuaries (SOA).
• Conducts actuarial analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plans.
• Completes financial forecasting and projection analysis to estimate future healthcare costs, revenue, and profitability.
• Analyzes claims data to assess patterns, trends, and cost drivers and identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement.
• Develops risk mitigation strategies, including reinsurance, risk-sharing agreements, and reserve adequacy analysis.
• Under general supervision, provides accurate and timely financial information to internal stakeholders, external auditors, and regulatory bodies.
• Encourages team members to explore innovative solutions and approaches to operational challenges.
• Identifies opportunities of areas of concern and recommends corrective actions to management for review and resolution.

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: Mid Level