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CVS Health Actuary - Medical Pharmacy in Blue Bell, Pennsylvania

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 is a key strategic role responsible for supporting medical pharmacy performance and profitability on the Aetna pharmacy team by driving high-performance med Rx management across all Aetna lines of businesses. This position will become a subject matter expert in medical pharmacy, collaborating closely with various actuarial and other cross-functional teams to drive a consistent and meaningful trend review and mitigation process. This position will also support the preparation of medical pharmacy business cases to drive optimized performance, and manage the strategic relationship between Aetna and Caremark.

Responsibilities include:

  • Manage medical Rx trend reporting that provide senior leadership standardized, meaningful, and transparent reporting into performance of the pharmacy business. Exhibit innovative use of resources.

  • Leverage various internal and external data sources to quantify risks/opportunities

  • Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to cross-functional workgroups

  • Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice and optimize enterprise value, leveraging strong communication and networking skills

  • Analyze medical pharmacy trend drivers and determine opportunities to drive to low cost of care

  • Develop strategic relationships with all Aetna LOBs to create transparency and inform trend and forecast projections

  • Develop creative technical solutions to incorporate efficiencies into daily work

  • Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to senior leaders on valuation

Required Qualifications

  • Bachelor's degree along with 3+ years of relevant experience

  • Strong communication skills

  • Ability to think creatively and use multiple data sources to assess and develop business strategies

  • Ability to effectively manage multiple priorities

  • Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business

  • Experience with large and detailed data sets

  • Must have actuarial exams passed (near ASA)

Preferred Qualifications

  • Experience in SAS or similar programs

  • Experience in pharmacy or medical pharmacy-related work

  • ASA credential

  • Knowledge of different Aetna segments and how unique components within each LOB impact P&L

Education

  • Bachelor's degree

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $203,940.00

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.

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:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • 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: 06/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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