Experienced Actuary - ACA: Drive Success in Individual Markets with a Leading Healthcare Company

Are you an actuary with a passion for driving success in individual markets? Do you thrive in a culture of innovation and teamwork? We're seeking an experienced Actuary - ACA to join our remote team at CVS Health, a leading healthcare company that's committed to delivering enhanced human-centric healthcare for a rapidly changing world.

About CVS Health

At CVS Health, we're more than just a healthcare company – we're a team of dedicated professionals who share a single, clear purpose: Bringing our heart to every moment of your health. Our purpose guides our commitment to deliver innovative solutions that make healthcare more personal, convenient, and affordable. With a brand that's anchored in heart, 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.

About the Role

As an Actuary - ACA, you'll play a critical role in driving success in individual markets by contributing to the achievement of profitability and membership goals. You'll work closely with business partners to coordinate pricing and filing work required for multiple states, set and manage priorities to meet pre-established deadlines, and cultivate relationships with local regulators to negotiate terms of rate filings and approvals.

Key Responsibilities:

* Contribute to the achievement of profitability and membership goals by acting as a strategic partner with business partners

• Coordinate the pricing and filing work required for multiple states
• Set and manage own priorities to meet pre-established deadlines; act independently with limited guidance from supervisor
• Cultivate relationships with local regulators and negotiate terms of rate filings and approvals; communicate both in response to objections and proactively as needed
• Develop or recommend initiatives to drive down cost structure so price points can be competitive and achieve required financial goals
• Devise responsible pricing strategies to help grow membership
• Recommend decisions logically based on data and business acumen that weighs the pros and cons and considers calculated risks
• Navigate several data points, possibly contradictory, and rationalize recommended course of action, recognizing risks and opportunities
• Work with different areas to understand those data points
• Work with multiple business partners (Segment Management, Network, Contracting, Product, Finance, Compliance, External Consultants) to achieve pricing and product objectives
• Monitor financials for several states and communicate with business partners
• Develop reporting packages within ACA actuarial team to enhance financial management process
• Participate with the broader ACA team and foster a team environment of trust and collaboration

Essential Qualifications:

* Bachelor's degree along with 3+ years related experience in healthcare

• Experience with Microsoft Office suite, especially Excel
• ASA designation
• Ability to work with large and detailed data sets; SAS, SQL, Power BI a plus
• Strong communication skills
• Solid technical/analytical skills and attention to detail

Preferred Qualifications:

* Experience with ACA markets

• ASA credential
• Education: Bachelor's degree or equivalent experience

Compensation and Benefits:

* The typical pay range for this role is: $60,300.00 - $145,860.00

• 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
• 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

Why Join CVS Health?

* We're a Top Workplace in the area, and our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful

• We live for opportunities to collaborate and make a difference, and we make choices according to what is best for the team
• We're committed to sustainability, recognition programs, and making a positive impact on our communities
• We offer a culture of innovation and teamwork, and we're passionate about delivering enhanced human-centric healthcare for a rapidly changing world

How to Apply:

If you're ready for this challenge, apply now and let's discuss how you can become a vital part of our success story. Apply for this job