Senior Actuary - Network Performance & Execution

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

This position within the Network Performance and Execution organization provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities.

This position provides a unique opportunity to experience the network buildout process from creation to implementation and performance evaluation as we are heavily involved in our expansion into the IFP market. The significant cross-functional collaboration required to build a network provides opportunities to gain insight into the complexity of one of our most valuable assets (our networks) and to broaden your scope and understand other critical areas across the company.

The market-specific responsibilities will give them the opportunity to gain an in-depth knowledge of market dynamics and build strong cross-functional relationships with business partners (network, MEU, commercial actuarial, etc.). Other traditional areas of focus include network discounts, Accountable Care Organizations (ACOs), and other Value Based Contracts (VBCs).

Network Actuary key responsibilities will include:

• Provide support of the ACO and narrow network pricing for all Commercial market segments (IFP, Small, Select/Key, National, Public & Labor).  This includes performing annual rate reviews in partnership with the Commercial Actuarial market actuaries for existing ACOs as well as participating in business development of new networks and ACOs.

• Monitor performance of existing networks and products to ensure adequate and competitive pricing that will support our Operating Plan goals for profitability and membership.

• Key partners are local network management, Commercial Actuarial, and MEU.

Required Qualifications

Bachelor's degree along with 5+ years of actuarial and/or analytical experience

Prior healthcare experience

ASA or FSA required

Strong technical, analytical, and financial skills

Excellent communication skills along w/attention to detail

Preferred Qualifications

Excellent written and verbal communication skills

Programming (SQL, SAS, Python, R) 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.

Education

Bachelor's degree required

Pay Range

The typical pay range for this role is:

$118,450.00 - $260,590.00

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

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/30/2025

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