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 Summary
Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business.This role is focused on determining and executing formulary and manufacturer rebate contracting strategy across Aetna and Silverscript's Medicare Part D and other government services pharmacy business. Use clinical knowledge and financial modeling to drive discussion and decisions on formulary coverage to ensure formulary strategy protects financial integrity and prevents anti-selection within the Medicare business. Forecast formulary impacts to pricing and profitability of Part D products. Engage in strategic discussions to ensure rebate contracting strategy maximizes financial value and minimizes expected claims costs. 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:
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- Take full ownership of assigned projects, manage to overall deadlines and complete tasks independently while collaborating with others
- Possess and leverage strong communication and networking skills to effectively negotiate and collaborate across teams and business areas
- 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 solutionsRequired Qualifications
- Bachelor's degree along with 5+ years related experience
- ASA or FSA required
- Experience with Microsoft Office suite, especially Excel
- Experience with SQL, working with large and detailed data sets
- Strong communication skills
- Demonstrated success in providing strong technical guidance and leadership direction
- Demonstrated success in collaborating with others to meet/exceed expectations
Preferred Qualifications
- Previous Medicare Part D or pharmacy experience a strong plus
- Experience with SAS, R, Python a plus
Education
- Bachelor's degreePay Range
The typical pay range for this role is:$130,295.00 - $260,590.00
This 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. This position also includes an award target in the company's equity award program.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.