Senior Analyst, Actuarial

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🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $79.3k - $158.6k / year

⏰ Full Time

🟠 Senior

📊 Actuary

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Develops and communicates pricing model results and strategies. • Develops and validates actuarial assumptions, methodologies, and models by ensuring adherence to actuarial standards and guidelines, such as those set by the Society of Actuaries (SOA). • Conducts actuarial analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plan designs. • Completes financial forecasting and projection analysis to estimate future healthcare costs, revenue, and profitability. • Analyzes claims data to assess patterns, trends, and cost drivers and identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement. • Assesses impacts of new risk-sharing contracting terms and forecasts potential payments associated with value based contracts • Under general supervision, provides accurate and timely financial information to internal stakeholders, external auditors, and regulatory bodies. • Encourages team members to explore innovative solutions and approaches to operational challenges. • Identifies opportunities of areas of concern and recommends corrective actions to management for review and resolution. • Progresses through rotations and exam completion in accordance with ADP guidelines.

🎯 Requirements

• 2-5 years work experience • 2 SOA EXAMS passed • 1 year experience in analytic experience • Experience working with standard Microsoft Office product suite. • Working knowledge of problem solving and decision-making skills • Demonstrated success in collaborating with others to meet/exceed expectations. • Bachelor's degree

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access