Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
• This position is responsible for rate development and filings in the Individual and Small Group ACA markets.
• Contribute to achievement of profitability and membership goals by acting as a strategic partner with business partners.
• Coordinate the pricing and filing work required for multiple states.
• Set and manage own priorities to meet pre-established deadlines; act independently with limited guidance from supervisor.
• Cultivate relationships with local regulators and negotiate terms of rate filings and approvals; communicate both in response to objections and proactively as needed.
• Excellent verbal and written communication to various audiences to establish strong relationships and to effectively convey observations and recommendations.
• Participate in the broader ACA team and foster a team environment of trust and collaboration.
• Establish understanding of competitive landscape and competitor prices compared to Aetna rates so that recommended rate levels can be developed.
• Forecast results and monitor financial performance.
• Develop or recommend initiatives to drive down cost structure so price points can be competitive and achieve required financial goals.
• Devise responsible pricing strategies to help grow membership. Recommend decisions logically based on data and business acumen that weighs the pros and cons and considers calculated risks.
• Navigate several data points, possibly contradictory, and rationalize recommended course of action, recognizing risks and opportunities. Work with different areas to understand those data points.
• Work with multiple business partners (Segment Management, Network, Contracting, Product, Finance, Compliance, Market Actuaries, External Consultants) to achieve pricing and product objectives.
Required Qualifications
- 3+ years related experience.
- Must have actuarial exams passed or have your ASA.
- Experience with Microsoft Office suite, especially Excel.
- Ability to work with large and detailed data sets; SAS, SQL, Power BI a plus.
- Strong communication skills.
- Solid technical/analytical skills and attention to detail.
Preferred Qualifications
Experience with ACA markets.
ASA/FSA Credential.
Education
Bachelor's degree or equivalent experience.
Pay Range
The typical pay range for this role is:
$66,330.00 - $145,860.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 12/11/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Working at
CVS Health
CVS Health revolutionizes the healthcare industry by integrating services across its pharmacy-led health and wellness experiences. They focus on making healthcare more accessible and affordable, offering innovative solutions to improve patient care and community health.