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 is a key strategic role responsible for connecting deep pharmacy expertise with actuarial principles related to commercial health plan risk and forecasting. This position is a senior member of the team responsible for owning the forecast and driving analyses related to emerging pharmacy results, trend drivers, drug pipeline and drug trends. This position would also develop and present pricing trend and rebate guidance.
Leadership:
Lead/manage projects established to support goals identified in strategic and operating plans. Exhibit innovative use of resources. Mentor and advise junior members of the team.
Product & Business Knowledge:
Integrate understanding of internal and external data sources for quantifying risks. Apply knowledge of products, programs, processes and policies to resolve problems and issues. Assure compliance with applicable regulations, laws and standards. Perform rating studies and custom pricing requests from underwriting/sales using product knowledge. Apply actuarial judgement when assessing impacts.
Risk Analysis & Management:
Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice. Evaluate the impact of upcoming regulatory changes on the business. Influence pricing and trend for product and/or services based on pharmacy strategy and industry dynamics. Anticipate and recognize matters that materially affect financial results and make sound, unbiased recommendations on these matters.
Technical Proficiency:
Develop creative technical solutions to a variety of problems. Stay apprised of technical innovations as potential solutions for actuarial issues and concerns. Pull and summarize data to inform sound business decisions.
Communication, Collaboration & Consultation:
Possess and leverage strong communication and networking skills to effectively collaborate across teams and business areas. Maintain accurate documentation.
Required Qualifications
- 3+ years of relevant experience
- Strong communication skills
- Ability to think creatively and use multiple data sources to assess and develop business strategies.
- Ability to effectively manage multiple priorities.
- Ability to collaborate with experts from other teams to better understand environmental issues/drivers and how/why the impact may differ by line of business.
- Experience with large and detailed data sets.
- Must have actuarial exams passed.
Preferred Qualifications
- SQL experience
- Pharmacy experience
- ASA/FSA credential
Education
- Bachelor's degree
Pay Range
The typical pay range for this role is:
$60,300.00 - $139,200.00
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 jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 09/20/2024
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.