Senior Actuary - Cost Growth Benchmarking

Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger u2013 helping to simplify health care one person, one family and one community at a time. Position Summary The National Medical Cost Analytics team is looking for an actuarial professional to support Aetnau2019s medical cost benchmarking and reporting. In this role, youu2019ll work with internal teams and state regulators to explain whatu2019s driving medical cost trends at both the national and state levels. Youu2019ll translate complex data into insights that leaders can use to make decisions. This is a fastu2011paced role with exposure to teams across actuarial, finance, product, network, compliance, pharmacy, and state regulatory groups. Strong communication skills are essential since youu2019ll regularly present findings to senior leadership. Key Responsibilities + Analyze and explain national and state medical cost trends using various data sources. + Build strong partnerships with Finance, Actuarial, Market, and Compliance leaders. + Develop new reports, exhibits, and presentations for recurring internal and external meetings. + Stay informed about economic, demographic, and regulatory factors that influence Aetnau2019s costs. + Support enterprise initiatives aimed at reducing medical cost pressures. + Use tools like SQL, GCP, VBA, R, SmartView, ThoughtSpot, and Microsoft Office to improve reporting and processes. + Help implement new technologies, including the ADAM cloud platform and daily claims data tools. + Present complex data in a clear, executiveu2011friendly way to senior leaders. Required Qualifications Knowledge of: + Key managed care areas such as provider contracting, benefit design, and medical management. + The competitive landscape and regulatory environment for Managed Care Organizations. Skills in: + Analytical thinking and problemu2011solving + Organization, project management, and leadership + Strong written and verbal communication + Leading change and influencing senior stakeholders Requirements: + Bacheloru2019s degree and 5+ years of relevant work experience + ASA or FSA designation + Healthcare experience (Commercial, Medicare, or Medicaid preferred) + Ability to turn data into a clear, compelling story + Ability to manage multiple priorities + Strong critical thinking, initiative, and collaboration skills Preferred Qualifications + Understanding of Commercial and Government (Medicare and Medicaid) product strategies 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 companyu2019s 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 u2013 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 We anticipate the application window for this opening will close on: 04/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.

Created: 2026-02-16