Actuary - Medicare Advantage

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position SummaryJoin a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government business. The primary focus is the Medicare Advantage financial forecasting, reserving, and trend analysis. The colleague will provide actuarial support to ensure business strategies achieve optimal outcomes within the Medicare Advantage Markets. The colleague will work with business partners to lead analysis, reporting and process development related to financial forecasting, trend development, reserving, and regulatory compliance.

The colleague will:

• Lead collaboration with business partners to develop and analyze financial forecasts.
• Work closely with Finance and Actuarial leadership to communicate emerging financial trends and drivers of variances to forecasts
• Collaborate with cross-functional business partners in Actuarial, Underwriting, Finance, and Product to achieve desired results
• Take full ownership of assigned projects, manage and collaborate with others to meet deadlines and achieve goals
• Effectively communicate, collaborate, and share results across teams
• Act as a subject matter expert on assigned projects/concepts and integrate individual results with work performed by others, influencing matrix partners
• 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
• Influence Tool Development to improve efficiency and accuracy

Required Qualifications

• Bachelor's degree along with 3+ years of experience
• ASA (Associate of the Society of Actuaries)
• Prior healthcare experience
• Experience with Microsoft Office suite, especially Excel
• Experience working with large and detailed data sets
• Strong communication and collaboration skills
• Solid technical/analytical skills and attention to detail

Preferred Qualifications

• Previous experience with Medicare Advantage
• FSA designation
• Experience with Oracle Smart View
• Familiarity with ADAM or MAMLs data

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$92,700.00 - $203,940.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 09/26/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Chicago, IL

Job ID: CVS-R0657188_1003

Employment Type: FULL_TIME

Posted: 2025-08-06T12:42:24