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CVS Health

Senior Actuary – Network

CVS Health

. Provide financial tools and analytics to support network strategy aligned with market and business growth priorities .

Posted 9/25/2026full-timeRemote • Texas • United StatesSenior💰 $118,450 - $236,900 per yearWebsite

Tech Stack

Tools & technologies
PythonSQL

About the role

Key responsibilities & impact
  • 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

What you’ll need
  • 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

Comp & perks
  • 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