Actuary - Network; Value Based Care jobs in United States
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CVS Health · 5 days ago

Actuary - Network; Value Based Care

CVS Health is dedicated to building a more connected and compassionate health experience. The Actuary in Network will support relationships with Value Based Care (VBC) partners by evaluating cost targets and developing actuarial policies. The role requires excellent communication skills and the ability to thrive in a dynamic environment while managing multiple priorities.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Work closely with Medical Economics consultants in the creation and review of financial reconciliations for provider partners; contribute to the development and design of new tools to support the entire process
Involvement in ad hoc work related to the ongoing evolution of the VBC business model, including researching potential methodology changes, development and creation of new tools, and development of marketing materials
Maintain relationship with Milliman in support of claims trends to support Self-insured reconciliations, including managing financial relationship with Milliman in support of our contract
Developing and implementing actuarial and underwriting policies and procedures and providing case specific guidance/support

Qualification

ASAFSAValue-based contractingSQLHealthcare experienceTechnical skillsAnalytical skillsFinancial skillsPythonGCPCoginitiCustomer serviceCommunication skillsProblem solving

Required

Bachelor's degree along with 3+ years of actuarial and/or analytical experience
ASA or FSA required
Prior healthcare experience
Value-based contracting experience is highly desired
Strong technical, analytical, and financial skills
Experience in or appetite to learn SQL language

Preferred

Excellent written and verbal communication skills
Programming (SQL, Python, GCP, Coginiti) experience
Provide superior customer service to both internal and external constituents
Thrive in a constantly evolving environment with competing priorities and deadlines
Problem solving skills are critical as many of the concepts are new or in development
Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined

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.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase