At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven 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 position within the Network Performance and Execution organization provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities.
This position provides a unique opportunity to experience the network buildout process from creation to implementation and performance evaluation as we are heavily involved in our expansion into the IFP market. The significant cross-functional collaboration required to build a network provides opportunities to gain insight into the complexity of one of our most valuable assets (our networks) and to broaden your scope and understand other critical areas across the company.
The market-specific responsibilities will give them the opportunity to gain an in-depth knowledge of market dynamics and build strong cross-functional relationships with business partners (network, MEU, commercial actuarial, etc.). Other traditional areas of focus include network discounts, Accountable Care Organizations (ACOs), and other Value Based Contracts (VBCs).
Network Actuary key responsibilities will include:
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Provide support of the ACO and narrow network pricing for all Commercial market segments (IFP, Small, Select/Key, National, Public & Labor). This includes performing annual rate reviews in partnership with the Commercial Actuarial market actuaries for existing ACOs as well as participating in business development of new networks and ACOs.
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Monitor performance of existing networks and products to ensure adequate and competitive pricing that will support our Operating Plan goals for profitability and membership.
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Key partners are local network management, Commercial Actuarial, and MEU.
Required Qualifications
Bachelor's degree along with 5+ years of actuarial and/or analytical experience
Prior healthcare experience
ASA or FSA required
Strong technical, analytical, and financial skills
Excellent communication skills along w/attention to detail
Preferred Qualifications
Excellent written and verbal communication skills
Programming (SQL, SAS, Python, R) experience
Provide superior customer service to both internal and external constituents.
Thrive in a constantly evolving environment with competing priorities and deadlines
Problem solving skills are critical as many of the concepts are new or in development
Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined.
Education
Bachelor's degree required
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 company’s 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 – 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:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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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 https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 05/30/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
