Senior Analyst, Actuarial - Medicare Part D (Fully ...

Job DescriptionJoin a high-performing actuarial team supporting CVS Health and Aetna's government services group pharmacy business.This role supports the Aetna & SilverScript Medicare Part D group business by applying analytical skills and actuarial judgement. This role focuses on pricing and supporting our large group customers and the overall group portfolio. The colleague will own the Excel workbook that is tied to the SAS-based pricing model. By owning this, the colleague will develop a strong understanding of how assumption changes will impact the net claims. This will also give the colleague visibility with UW and the Part D Actuarial team.The colleague will: Update and maintain the Excel output workbook for our SAS-based pricing model. Work with Underwriting, Sales, and Account team on large and/or complicated new business and renewal cases. The colleague will take ownership of the pricing for some high profile cases such as State of Illinois. Own annual New York State OHI filing. Complete studies used for assumption setting in our pricing model. Complete tasks independently while collaborating with others. Leverage strong technical skills and critical thinking to design and achieve business solutions. Exhibit CVS's Heart At Work behaviors. Review assumptions from a business perspective and defend work to management. Develop creative technical solutions to a variety of problems. Leverage Excel, SAS, and other technical options to efficiently complete projects. Independently review work for accuracy and reasonability.#AetnaActuaryRequired Qualifications Experience with SAS, SQL, R, Python or similar a plus, as working with large, detailed data sets. Experience using Excel. Strong communication skills. Solid technical/analytical skills and attention to detail. Ability to think creatively and use multiple data sources to assess and develop business strategies. Willingness to ask questions and take initiative. Customer-focused mindset and willingness to address concerns of regulators and business/enterprise partners. Ability to turn large data sets into understandable and compelling exhibits/stories. Comfortable working in a fast-paced environment with constant change. Ability to effectively manage multiple priorities. Ability to work effectively in a team setting and independently.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Prior pharmacy, Part D, Medicare or Medicaid experience is preferred but not required. At least 1 year of relevant experience. 1-2 actuarial exams passed; willing to consider well-qualified candidates not on the actuarial exam trackEducation Bachelor's Degree in Actuarial Science, Mathematics, or related fieldBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04