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
As a member of the Commercial Pharmacy Actuarial team, this position is responsible for developing pharmacy trend forecasts for Commercial and Exchange fully insured and AFA businesses, robust analysis of monthly financial results, and ensuring the integrity of pharmacy pricing strategy. Will lead a team of 3 - 4 analysts with a focus on:
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- Reducing underlying costs by optimizing discounts, formulary, clinical programs, trends, rebate analytics and strategy.
- Deliver expertise through deep dives to drive results for specific segments/businesses.
- Leverage PBM analytics to drive stability in IFP and to develop pharmacy strategy for all segments.
- Enhance analytics that influence strategy, provide accountability, and drive decision making.
- Develop and deliver strategic framework for formulary design.
- Lead development of financial forecasting process for fully insured pharmacy trend.
- Support transfer pricing, ensure data reconciliation and assumptions.
- Driving analyses related to emerging pharmacy results, trend drivers, drug pipeline and drug trends.
- Collaborate with business partners across CVS Health enterprise on trend drivers.
- Explaining drivers of variance to forecast, including working with finance on differences between DOS and financial results.
Bachelor's degree and 5+ years of actuarial experience
Must have your ASA or FSA
Strong communication skills & problem-solving skills
Experience w/Microsoft Office suite, especially Excel
Solid technical/analytical skills and attention to detail Preferred Qualifications
FSA
SQL experience
Pharmacy experience
Education
Bachelor's degree or equivalentPay 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.
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.
For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 03/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.