Actuarial Professional

CVS Health is seeking a creative, analytical, and collaborative actuarial professional to support Self-Funded Employer Group Waver Plan clients.

This role will apply actuarial expertise, financial modeling, and actuarial judgment to develop pricing strategies, forecast plan performance, evaluate financial risk, and assess the impact of evolving Medicare Part D regulations.

The successful candidate will partner closely with Sales, Rebate Operations, Underwriting, Clinical, Formulary, and the broader Medicare Part D team to deliver actuarial analyses and strategic recommendations that drive profitable growth, financial sustainability, and client success.

Responsibilities and Duties:

• Apply actuarial standards of practice (ASOPs) and sound actuarial judgment to complex business decisions.
• Perform experience analyses, assumption setting, and profitability studies.
• Help develop pricing strategies and money-saving options that align with customer needs.
• Support analysis related to Medicare Part D reform and help educate business partners on potential impacts.
• Partner with Underwriting, Sales, and Account teams on complex new business and renewal cases.
• Meet with clients, as needed, to explain economic implications and pricing considerations.
• Complete and/or oversee studies used to set assumptions in pricing models.
• Deliver timely, accurate, and high-quality analyses and recommendations.
• Work independently while collaborating effectively across teams.
• Identify issues that could materially affect financial results and develop sound, unbiased recommendations.
• Apply technical expertise and critical thinking to solve business problems.
• Mentor less experienced team members and support team development.

Required Qualifications:

• Bachelor's Degree along with 3+ years relevant actuarial experience with strong communication and analytical skills.
• Associate of the Society of Actuaries (ASA), or demonstrated progress toward actuarial credentials.

Preferred Qualifications:

• Coding Experience.
• Knowledge of pharmacy benefits and formularies.

The typical pay range for this role is: $92,700.00 - $203,940.00.

Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.