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
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.
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Deliver expertise through deep dives to drive results for specific segments/businesses.
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Leverage PBM analytics to drive stability in IFP and to develop pharmacy strategy for all segments.
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Enhance analytics that influence strategy, provide accountability, and drive decision making.
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Develop and deliver strategic framework for formulary design.
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Lead development of financial forecasting process for fully insured pharmacy trend.
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Support transfer pricing, ensure data reconciliation and assumptions.
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Driving analyses related to emerging pharmacy results, trend drivers, drug pipeline and drug trends.
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Collaborate with business partners across CVS Health enterprise on trend drivers.
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Explaining drivers of variance to forecast, including working with finance on differences between DOS and financial results.
Required Qualifications
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 equivalent
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: 04/30/2025
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.
