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.

Job Description Summary

Support CVS Health’s financial integrity through support of the Commercial Health Plan pharmacy business. This will be achieved through developing and evaluating formulary strategy, and performing complex studies to support pharmacy rating methodology, product analysis, and analysis of legislative impacts. Will also be responsible for developing reporting to track emerging trends and identify actionable insights.

Job Description

A Brief Overview

Performs actuarial functions by applying complex quantitative skills and analytical methodologies. Leverage exceptional technical skills and design data studies to drive solutions and demonstrate an advanced understanding of actuarial concepts and product business acumen. Set own priorities within pre-established overall deadlines. Complete tasks independently.

What you will do

Evaluate Commercial formulary strategy through assessing the impact of changes in drug tier and utilization management techniques to utilization, rebates, and Gross costs.

Assess financial impact of potential product solutions.

Assess financial impact of changes to formulary coverage per legislation or changes to company policy.

Present findings and make recommendations to audiences including senior leadership and representation from cross functional teams.

Coach more junior colleagues.

For this role you will need Minimum Requirements

Bachelor's degree along with 3+ years of actuarial experience

Prior healthcare experience is required

Strong technical skills; Excel and coding experience

actuarial exams passed (or ASA)

Able to drive to conclusion multiple projects ranging in complexity and duration.

Excellent communication skills, both written and oral.

Ability to perform independent research and develop an internal network to obtain information as needed.

Education

Bachelor's degree or have obtained ASA/FSA

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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

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