About this Manager, Actuarial role at CVS Health
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll 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 – helping to simplify health care one person, one family and one community at a time.
Position Summary
CVS Health is seeking a creative, analytical, and collaborative actuarial professional to support Self-Funded EGWP clients. This role is responsible for developing projections, analyzing business performance, evaluating the impact of evolving Medicare Part D regulations, and conducting Book of Business (BOB) studies to support client and enterprise decision-making. The successful candidate will partner closely with Sales, Rebate Operations, Underwriting, Clinical, Formulary, and the broader Medicare Part D team to deliver insights and solutions that help meet client needs and business objectives. This individual will apply actuarial and analytical skills to complex business questions while contributing to pricing, forecasting, and strategic initiatives. Strong communication skills are essential, as this role requires effectively translating technical concepts and regulatory changes for a variety of audiences, including internal stakeholders and client-facing teams. The ideal candidate is curious, adaptable, and able to work collaboratively across functions to support both EGWP clients and the broader organization.
Responsibilities and Duties:
- Help develop pricing strategies and money-saving options that align with customer needs
- Support analysis related to Medicare Part D reform and help educate business partners on potential impacts
- Partner with Underwriting, Sales, and Account teams on complex new business and renewal cases.
- Meet with clients, as needed, to explain economic implications and pricing considerations
- Complete and/or oversee studies used to set assumptions in pricing models
- Deliver timely, accurate, and high-quality analyses and recommendations
- Work independently while collaborating effectively across teams
- Identify issues that could materially affect financial results and develop sound, unbiased recommendations
- Apply technical expertise and critical thinking to solve business problems
- Mentor less experienced team members and support team development
Required Qualifications
Bachelor's Degree required with 3+ years of actuarial, statistics or programming, and/or relevant finance background with:
-Strong communication skills
-Strong analytical skills
Preferred Qualifications
Coding Experience.
Knowledge of pharmacy benefits and formularies.
Education
Bachelor's Degree required.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$92,700.00 - $203,940.00This 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.
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
