Senior Actuary – Network

Job not on LinkedIn

🔥 8 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $118.5k - $236.9k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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.

📋 Description

• Provide financial tools and analytics to support network strategy aligned with market and business growth priorities • Develop in-depth knowledge of market dynamics and build cross-functional relationships with network, MEU, and commercial actuarial teams • Develop a quarterly, market-level discount review process • Inform Regional Leads and Chief Network Officers about benchmarking changes, gaps, and pressured areas for future negotiations • Provide field information on the impact and timing of new negotiations • Drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health • Support Aetna Whole Health / APCN Plus, joint ventures, and narrow network pricing across Commercial market segments • Validate and refine pricing using trend, PCRs, and area factors during Large Group Rate Review • Build tools and analyses supporting Priority Markets and Strategic/Enhanced Providers • Address state-specific standard contracts by selecting a competitive fee schedule consistent across state lines

🎯 Requirements

• Bachelor's degree required • 5+ years of actuarial and/or analytical experience • Strong technical, analytical, and financial skills • ASA designation • Excellent written and verbal communication skills • Programming experience with SQL, SAS, Python, or R • Ability to provide superior customer service to internal and external constituents • Ability to thrive in a constantly evolving environment with competing priorities and deadlines • Critical problem-solving skills • Ability to generate new ideas, think strategically, and creatively solve poorly defined problems

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Equity award program