Actuary - Medical Pharmacy
Actuary - Medical Pharmacy
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$ 92700 - 203940
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven 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 is a key strategic role responsible for supporting medical pharmacy performance and profitability on the Aetna pharmacy team by driving highperformance med Rx management across all Aetna lines of businesses. This position will become a subject matter expert in medical pharmacy collaborating closely with various actuarial and other crossfunctional teams to drive a consistent and meaningful trend review and mitigation process. This position will also support the preparation of medical pharmacy business cases to drive optimized performance and manage the strategic relationship between Aetna and Caremark.
Responsibilities include:
- Manage medical Rx trend reporting that provide senior leadership standardized meaningful and transparent reporting into performance of the pharmacy business. Exhibit innovative use of resources.
- Leverage various internal and external data sources to quantify risks/opportunities
- Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to crossfunctional workgroups
- Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice and optimize enterprise value leveraging strong communication and networking skills
- Analyze medical pharmacy trend drivers and determine opportunities to drive to low cost of care
- Develop strategic relationships with all Aetna LOBs to create transparency and inform trend and forecast projections
- Develop creative technical solutions to incorporate efficiencies into daily work
- Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to senior leaders on valuation
Required Qualifications
Bachelors degree along with 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 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 (near ASA)
Preferred Qualifications
Experience in SAS or similar programs
Experience in pharmacy or medical pharmacyrelated work
ASA credential
Knowledge of different Aetna segments and how unique components within each LOB impact P&L
Education
Bachelors degree
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$92700.00 $203940.00This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above.
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.
Nocost 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 anticipate the application window for this opening will close on: 06/30/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Employment Type
Full-Time
