Senior Analyst, Actuarial (ADP)

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.Job Description Summary

Support CVS Health's financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues. Team members collaborate closely throughout the year with market business partners in addition to the broader actuarial team.A Brief Overview
Senior Analysts on the Medicare Actuarial team leverage strong technical skills to analyze data and pricing models, communicate results and solutions, and demonstrate an advanced understanding of actuarial concepts and business acumen. Senior analysts are expected to manage their priorities within pre-established overall deadlines and complete tasks independently with some direction from supervisor.

What you will do

• Develops and communicates pricing model results and strategies.
• Develops and validates actuarial assumptions, methodologies, and models by ensuring adherence to actuarial standards and guidelines, such as those set by the Society of Actuaries (SOA).
• Conducts actuarial analysis to assess the financial risks and implications of healthcare programs, insurance products, and benefit plan designs.
• Completes financial forecasting and projection analysis to estimate future healthcare costs, revenue, and profitability.
• Analyzes claims data to assess patterns, trends, and cost drivers and identifies opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement.
• Assesses impacts of new risk-sharing contracting terms and forecasts potential payments associated with value based contracts
• Under general supervision, provides accurate and timely financial information to internal stakeholders, external auditors, and regulatory bodies.
• Encourages team members to explore innovative solutions and approaches to operational challenges.
• Identifies opportunities of areas of concern and recommends corrective actions to management for review and resolution.

For this role you will need Minimum Requirements

• 2-5 years work experience
• Working knowledge of problem solving and decision-making skills

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$79,310.00 - $158,620.00This 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: 12/15/2025Qualified 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-R0768040

Employment Type: FULL_TIME

Posted: 2025-11-15T19:25:44