, Connecticut

Job Description
This is a work from home opportunity anywhere in the U.S.A.

Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. Primary focus is MAPD, D-SNP and SliverScript PDP, with some exposure to Medicaid and integrated Medicare-Medicaid pharmacy offerings.

This role will focus on analyzing financial and business impacts of formulary changes across the government services pharmacy business. Develop and maintain models to ensure formulary strategy enhances financial integrity and prevents anti-selection. Help grow our business by ensuring formulary and pricing align with product strategy and business goals to position our plans well in the marketplace. Collaborate with business partners in Clinical, Finance, Trade, Product and other Actuarial functions to achieve desired results. Involvement with other projects dealing with pharmacy and Medicare Part D will also occur.

The colleague will:
- Take full ownership of assigned projects, manage to overall deadlines and complete tasks independently while collaborating with others
- Effectively communicate and collaborate across teams
- Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others
- Anticipate and recognize matters that materially affect financial results and develop sound, unbiased recommendations on how to resolve these matters
- Leverage strong technical skills and critical thinking to design and achieve business solutions

#AetnaActuary

Required Qualifications
- Bachelor’s degree along with 5+ years related experience
- ASA or FSA designation and is typically a member of the Academy of Actuaries (or other accredited actuarial organization) able to sign state rate filings and other required actuarial certifications
- Willing to consider well-qualified candidates without actuarial credentials or not on the actuarial exam track
- Experience with Microsoft Office suite, especially Excel
- Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required
- Strong communication skills
- Solid technical/analytical skills and attention to detail

COVID Requirements


COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
Previous Medicare Part D or pharmacy experience a strong plus

Education
Bachelor's degree or equivalent

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

, Connecticut

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses

 

"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

Similar jobs