CVS Health Sr Mgr, Actuarial Services in Scottsdale, Arizona
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.
Do you want to make a large impact in your next finance role? Join CVS Health, a Fortune 5 organization, as an actuary where you can learn the dynamic and complex nature of the Pharmacy management in the Pharmacy Benefit Manager with the largest market share in the US. With over $140B in revenue – more than half of the CVS enterprise – the Pharmacy Services Segment would be #18 on Fortune list as its own entity!
In this role, you will be frequently engaging as an individual contributor with a broad variety of teams and frequently working under tight deadlines. Some of your key responsibilities will include:
Engage with Sales and Underwriting on multiple pharmacy risk products. Including the development, underwriting and risk management of Trend and Net Cost guarantees with significant fees at risk. Specific responsibilities will include:
Product design analysis; development of rating manuals and procedures.
Prototyping tools internally prior to rolling out on a production basis.
Risk assessment of product revisions and updates.
Assist and advise in the creation, review and implementation of contract offerings.
Communication and education with external clients and consultants.
Work with multiple internal and client account teams on in-depth experience reviews for high-profile clients and other ad-hoc data analyses, such drug class analyses and evaluations of new product ideas.
Consulting and advising your leadership in risk proposal strategy and development.
Support the presentation of underwriting analysis, pricing recommendations and risk assessment to senior management for approval.
Provide support for broader actuarial department priorities, such as benchmarking or ad-hoc financial analyses, trend experience analysis and commercial client consulting.
Identify and drive forward opportunities of using data in innovative ways that differentiate the CVS in the marketplace providing guidance to data engineering teams to build scalable solutions.
Effectively prioritizing with the product team and within broader actuarial team.
To be successful, you will:
develop a solid understanding Pharmacy Benefit Management pricing, modeling, finance, terminology and concepts
Provide customer-centric mindset, with ability to communicate primary findings and recommendations with Non Actuarial / non-technical / executive teams.
Adaptability and quick knowledge uptake with new and diverse ideas with an ability to analyze complex problems and drive solutions to completion.
Provide deep analytical and problem-solving skills in developing complex and challenging change-driving solutions.
Demonstrate strong consultative skills with the ability to communicate trade-offs and tell compelling stories by breaking complex messages into simpler solutions.
Demonstrate the ability to work well in a multidisciplinary team environment, as well as independently.
At least 5 years of actuarial experience or equivalent with a majority in healthcare/medical industry or Pharmacy Benefit Management industry
Attainment of ASA or FSA designation
Experience in Pharmacy Benefit Management industry
Exceptional self-directed ability to contribute to teams as an independent individual contributor.
Diverse experiences that demonstrate an ability to learn quickly
Able to synthesize complex information in complex tools to drive solutions
Exceptional communication skills, including bringing clarity to complex situations to both technical and non-technical audiences, engaging with senior leadership and effectively managing tight deliverable timelines.
Adaptability and ability to prioritize effectively
SQL / SAS / data engineering experience
Bachelor's Degree is required
Master’s degree is preferred
Equivalent Combination of education and experience may be considered.
The typical pay range for this role is:
$79,200.00 - $174,200.00
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. 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 jobs.CVSHealth.com/benefits
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
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