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Position Summary

This is a dual role that serves as a leading member of the functional Middle Market Actuarial team in charge of Commercial Large Group Trend and the Commercial Large Group Rate Review while also providing local market actuarial support to the Central Region.

Serve as a leading member of the functional team in charge of Commercial Large Group Trend

• Build out trend analytics, documentation, and communication to support market actuaries in assumption setting during the large group rate review, specific to fully insured.
• Lead continuous improvement and education as it relates to trend setting.
• Prepare regular communications to senior leaders on various drivers of trend including a defense of pricing trend recommendation.
• Take learnings from various internal discussions related to trend and communicate those learnings to our broader large group pricing actuarial team.
• Seek out external resources to help understand macro drivers of trend.
• Lead and develop trend analyses that will likely involve working and mentoring early in career analysts on the team.
• Coordinate with other Actuarial teams on self-insured and other segment trends understanding and rationalizing differences and drivers
• Participate as a critical team member to help coordinate the National Large Group Rate Review process.
• Provide valuable feedback on the Rate Review process to help develop and implement best practices for future cycles including but not limited to the trend setting process.

Support the Central Region as an actuarial subject matter expert for South Central (TX, OK, NM) markets

• Collaborate with the Plan President, Sales, Finance, Underwriting, Network, Contracting, and Product to develop market specific growth strategies while maintaining enterprise alignment
• Proactively monitor financial performance and provide observations/insights into deep dives
• Participate in the Implementation and Forecasting/Budget discussions
• Oversee the Large Group Rate Filings/DOI objections when applicable
• Takes accountability to ensure market specific requests and deliverables are met in a timely and responsive manner
• Meet with the market to discuss technical results including but not limited to rate actions, trend and prior carrier relativity factors, and area factors

Keys to success:

• Demonstrate understanding of complex actuarial functions as well as the market specific dynamics including the competitive landscape
• Build and facilitate creation of initiatives to drive down cost structure
• Take full ownership of complex assignments and act as the trusted lead for the market
• Communicate actuarial findings to business partners
• Be a creative partner in how we analyze trend and set go-forward assumptions for pricing
• Anticipate the market's needs and be able to influence and further recommend corrective courses of action to maintain profitable growth
• Demonstrate leadership that fosters and supports a strong team of individual contributors
• Support actuarial and underwriting functions by applying quantitative skills and analytical methods

Required Qualifications

• Bachelor's degree along with 5+ years of actuarial experience
• ASA (Associate of the Society of Actuaries) or FSA (Fellow of the Society of Actuaries)
• Strong technical, analytical, and financial skills
• Prior healthcare experience
• Excellent verbal and written communication skills
• Ability to think creatively and use multiple data sources to assess and develop business strategies
• Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business

Preferred Qualifications

• FSA (Fellow of the Society of Actuaries) or actively working towards FSA designation
• Ability to thrive in a constantly evolving environment with competing priorities and deadlines
• Ability to collaborate with key stakeholders to formulate recommendations and course of actions

Education
Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.40

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. This position also includes an award target in the company's equity award program.

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: 02/14/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.