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CVS Health · 20 hours ago

Senior Actuary - Medicare Advantage

Blue Bell, PA

Full-time

Onsite

Mid, Senior Level

$118K/yr - $261K/yr

5+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Senior Actuary will oversee the development and delivery of medical cost assumptions for Individual Medicare Advantage, ensuring compliance and accuracy while collaborating with cross-functional partners.

Health CareMedicalPharmaceuticalRetailSales

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

Collaborate closely with cross‑functional partners to confirm data integrity, review adjustments, and validate projection reasonability

Ensure all medical cost assumptions are CMS compliant and account for regulatory changes

Manage and coordinate work across a team of supporting actuaries, ensuring alignment, quality, and timely execution

Present results, insights, and recommendations to actuarial and business leadership

Qualification

Actuarial experienceAssociate of the Society of ActuariesMember of the American Academy of ActuariesHealthcare backgroundMS ExcelMedicare Advantage experienceSASSQLFellow of the Society of ActuariesCommunication skills

Required

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

Strong communication skills

Preferred

Experience with Medicare Advantage products

Fellow of the Society of Actuaries

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.