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CVS Health · 1 month ago

Actuary - Medicare Part D

Hartford, CT

Full-time

Hybrid

Mid Level

$93K/yr - $204K/yr

3+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Actuary for Medicare Part D will model pharmacy network contracting arrangements and provide actuarial support to business partners, ensuring alignment on pricing and forecasting models.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Support development and maintenance of models and processes to assess network contracting strategies and performance against expectations

Work with business partners (including those in the PBM and Enterprise Pricing) to understand the details of network contracting strategies and convert these details into financial projections/modeling

Support development of pharmacy network assumptions for Aetna’s Medicare Part D bids and forecasts

Partner with the teams maintaining Part D pricing and forecasting models to ensure alignment on the best approach to modeling network terms/assumptions

Effectively balance and manage competing priorities

Act as a subject matter expert on assigned projects and concepts

Leverage technical skills and critical thinking to design and achieve business solutions

Qualification

Actuarial modelingHealthcare experienceSASSQLPythonRExcelTechnical skillsAnalytical skillsManage prioritiesCommunicationAttention to detail

Required

Bachelor's degree along with 3+ years related experience

Prior healthcare experience required

ASA or near-ASA (Associate of the Society of Actuaries)

Experience with Microsoft Office suite, especially Excel

Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required

Strong communication skills

Solid technical/analytical skills and attention to detail

Ability to thrive in a constantly evolving environment with competing priorities and deadlines

Preferred

Prior Pharmacy, Part D, or Medicare Advantage experience

ASA

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

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