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Senior Actuary – Network
CVS Health. Provide financial tools and analytics to support network strategy aligned with market and business growth priorities .
Tech Stack
Tools & technologiesPythonSQL
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