Chicago IL

Franklin MA

Hartford CT

Woonsocket RI

Part Qualified

Associate

Qualified

Health

Reserving

Reporting

Risk

Systems

Python

Experience Analysis

Coding

Pricing

Excel

Power BI

CVS Health

Bring your heart to CVS Health. Every 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.Position SummaryThis position will support the Senior Supplemental Insurance Actuarial team by supporting the annual rate filing process for the Medicare Supplement products.This position's responsibilities will include (but are not limited to) assisting SSI Actuarial team members with the following items:<ul><li>Creating and filing Medicare Supplement rate recommendations to various State Departments of Insurance</li><li>Communicating directly with various State DOIs concerning objection questions</li><li>Assisting with experience analysis</li></ul>Required Qualifications<ul><li>0-2 years of actuarial experience</li><li>1+ actuarial exams passed</li><li>Prior experience working with Microsoft Excel</li><li>Good communication and problem solving skills</li></ul>Preferred Qualifications<ul><li>Prior Actuarial work experience</li><li>2+ Actuarial exams</li><li>Exposure to either SERFF, data manipulation via coding, or model building</li><li>Experience working with SQL, Python, VBA, and/or SAS</li></ul>EducationBachelor's Degree or higherPay RangeThe typical pay range for this role is: $43,888.00 - $93,574.80. 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.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.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Bring your heart to CVS Health. Every 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. 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.Position SummaryThe Individual & Family Plans (IFP) Product Performance team is looking for driven, high-performance colleagues to join their team. Our team is responsible for monitoring and evaluating the financial performance of our Individual Exchange business, which launched January 1, 2022, and experienced significant growth for plan years 2023 and 2024.This position is an analytical role that will be key in providing deeper perspective on the current and anticipated performance of the IFP line of business to both technical and non-technical audiences. In addition to providing analytical support for the IFP Product Performance team on risk adjustment, individuals in this role will need to gather and review data and/or reporting from other business areas to identify any areas of interest (favorable or unfavorable) and then to determine the drivers of those results.The ideal candidate is adaptable, organized, collaborative, has experience building models, analyzing detailed datasets, and clearly communicating the results of their analysis to a variety of audiences. As a new line of business, our team's responsibilities will continue to evolve over time. This presents the opportunity for continued new and varied challenges in this role going forward. If you are looking for a visible opportunity to work with many stakeholders and help to drive growth, we encourage you to apply.Required Qualifications<ul><li>1+ years experience in an actuarial and/or analytical role</li><li>Experience working with data sets in SQL.</li><li>Experience working with Microsoft Office, specifically working in Excel.</li><li>Analytical and model-building skills.</li><li>Attention to detail, problem-solving capabilities, and solid communication skills with both technical and non-technical audiences.</li></ul>Preferred Qualifications<ul><li>2+ years experience in an actuarial and/or analytical role</li><li>2 or more Actuarial exams completed</li><li>Prior experience or familiarity with Public Exchanges and/or with CMS risk adjustment models.</li><li>Experience with analyzing data sets in R</li></ul>Education<ul><li>Bachelor's degree or equivalent experience</li></ul>Pay RangeThe typical pay range for this role is: $46,988.00 - $112,200.00. 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. 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.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.

Bring your heart to CVS Health. Every 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. 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.Job DescriptionA Brief Overview: Applies in-depth knowledge of quantitative and analytical methods to complete assigned projects and potentially function as a project team lead. Analyzes complex business and product processes to achieve business solutions.What you will do<ul><li>Assists with establishing and implementing results-based programs and innovative initiatives for the actuarial informatics area, under general supervision.</li><li>Applies in-depth knowledge of the actuarial informatics field to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.</li><li>Analyzes complex liabilities and risks within healthcare data to minimize potential costs.</li><li>Designs complex solutions for actuarial and underwriting processes to optimize workflow and deliver the right user experience.</li><li>Communicates results and timelines for multiple projects to constituents internally and externally.</li><li>Conducts routine maintenance and enhancements of existing systems to support the actuarial team.</li><li>Coaches more junior colleagues in techniques, processes, and responsibilities.</li></ul>Required Qualifications:<ul><li>Bachelor's Degree or higher in Mathematics, Statistics, Actuarial Science, or closely related field.</li><li>2-5 years of relevant industry experience in one or more of the following areas:
 <ul><li>Medicare Advantage, ACO, MSSP, ACO REACH</li><li>Healthcare Economics</li><li>Pricing</li><li>Reserving</li><li>Forecasting</li><li>Data Analytics</li></ul></li><li>Excellent quantitative analysis abilities, grounded in epidemiology, biostatistics, econometrics, health informatics, healthcare analytics, or related field.</li><li>Strong SQL, SAS, Python, or R skills, ability to perform effective querying involving multiple tables and subqueries.</li><li>Demonstrated ability to conduct nuanced analyses to produce accurate and unbiased results and tell the story of those results in data visualizations and reports.</li><li>Deep knowledge of standard methods for measuring health care utilization, spending, quality, and outcomes; risk adjustment; provider profiling; and related analytical tasks.</li><li>Examine, interpret, and report results of analytical initiatives to stakeholders.</li><li>Excellent oral and written communication skills; ability to present complex information in an understandable and compelling manner.</li><li>Ability to work independently and in a team environment.</li><li>Proven ability to work in a fast-paced environment where client satisfaction is key.</li></ul>Preferred Qualifications:<ul><li>Attainment, or close to the attainment, of Associate of the Society of Actuaries (ASA).</li><li>Experience with VRDC (CMS 100% Research Identifiable Files RIF) and/or LDS (5% Sample Data).</li><li>Prior experience in value-based care settings.</li><li>Proficient in Excel, Word, and PowerPoint software.</li></ul>Pay Range:The typical pay range for this role is: $46,988.00 - $112,200.00. 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. 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.

Bring your heart to CVS Health. Every 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.Position Summary:This position is responsible for rate development and filings in the Individual ACA segment. This entails:<ul><li>Contributing to the achievement of profitability and membership goals by acting as a strategic partner with business partners.</li><li>Developing or recommending initiatives to drive down cost structure by working with multiple business partners (segment management, network, product, finance, compliance, etc.) so price points can be competitive and achieve required financial goals.</li><li>Navigating several data points, possibly contradictory, and rationalizing recommended course of action, recognizing risks and opportunities.</li><li>Devising responsible pricing strategies to achieve business objectives.</li><li>Cultivating relationships with local regulators and negotiating terms of rate filings and approvals.</li></ul>This position is also responsible for:<ul><li>Maintaining monthly date of service reporting database used by the actuarial team.</li><li>Updating downstream reporting tools for all Individual ACA business to enhance understanding of financial performance.</li><li>Enhancing reporting and developing ad hoc analyses as appropriate to understand financial drivers.</li><li>Management of several team members, including day to day responsibilities and professional development.</li></ul>Required Qualifications:<ul><li>Bachelor's degree along with 5+ years related experience.</li><li>ASA/FSA credential.</li><li>Experience with Microsoft Office suite, especially Excel.</li><li>Prior healthcare experience.</li><li>Ability to work with large and detailed data sets; SQL, Power BI a plus.</li><li>Strong communication skills.</li><li>Strong technical/analytical skills and attention to detail.</li></ul>Preferred Qualifications:<ul><li>Experience with ACA markets.</li></ul>Education:Bachelor's degree or equivalent experience.Pay Range: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.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Actuarial jobs at CVS Health