Actuary - Medicare Advantage

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.

Job Description :

Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business. The primary responsibility of this role will be to perform pricing and analytic work in support of a department mission to protect Aetna's financial integrity, collaborate with business partners to provide sound risk management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters.

Leadership:

• Manage personal and team resources efficiently to complete projects.
• Exhibit innovative use of resources.
• Provide input into decision making process.
• Exercise decision making within scope of authority.
• Act as mentor to newer or less experience staff.
• Facilitate training and development opportunities.

Product & Business Knowledge:

• Demonstrate understanding of existing data sources and translate into appropriate assumptions and functional business information.
• Identify/suggest alternatives/improvements.
• Demonstrate understanding of intradepartmental products, programs, processes and policies; identify and research problems and issues.
• Demonstrate understanding of regulatory compliance issues.

Risk Analysis & Management:

• Work with supervisor to understand the nature of specific risks. Share results of analysis with management.
• Compile and analyze filing data. Prepare and submit necessary exhibits for regulatory filings.
• Provide technical support and analysis for planning, forecasting and reporting process. Make recommendations to supervisor.
• Develop and recommend pricing and trend for product and/or services. Understand and communicate financial impact to supervisor.

Technical Proficiency:

• Develop creative technical solutions to a variety of problems. Demonstrate spreadsheeting proficiency and familiarity with database and web-based applications.
• Develop and implement appropriate tools and models.
• Recommend, implement and oversee maintenance development of enhancements to processes, tools and systems. Make suggestions to maximize efficiency.
• Develop and finalize business requirements and/or specifications for processes, tools, and systems.
• Test and oversee changes to processes, tools and systems.

Communication, Collaboration & Consultation:

• Represent area in multi-functional workgroups.
• Respond to complex inquiries from internal constituents. Create and maintain accurate documentation and develop training materials for tools and processes.
• With limited direction, collaborate with internal and external constituents.

REQUIREMENTS:

Bachelor's degree along with 3+ years' relevant experience.

Should be at/near ASA (Associates of the Society of Actuaries)

Medicare experience is desired (not required)

Strong communication skills and excellent technical ability.

PREFERRED

Prior pricing experience would be helpful

Any government experience

Any coding experience is a plus

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $203,940.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 
  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

We anticipate the application window for this opening will close on: 09/26/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.