Hispanic Alliance for Career Enhancement
Actuary - Medicare Part D
Hispanic Alliance for Career Enhancement, Chicago, Illinois, United States, 60290
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 dynamic, high‑performing actuarial team supporting CVS Health and Aetna’s government services pharmacy business. This role is primarily responsible for modeling pharmacy network contracting arrangements for Aetna’s Medicare Part D business and providing actuarial support to key business partners.
Responsibilities
Support development and maintenance of models and processes to assess network contracting strategies and performance against expectations.
Work with business partners (including those in the PBM and Enterprise Pricing) to understand the details of network contracting strategies and convert these details into financial projections/modeling.
Support development of pharmacy network assumptions for Aetna’s Medicare Part D bids and forecasts.
Partner with the teams maintaining Part D pricing and forecasting models to ensure alignment on the best approach to modeling network terms/assumptions.
Effectively balance and manage competing priorities.
Act as a subject matter expert on assigned projects and concepts.
Leverage technical skills and critical thinking to design and achieve business solutions.
Required Qualifications
Bachelor’s degree along with 3+ years related experience
Prior healthcare experience required
ASA or near‑ASA (Associate of the Society of Actuaries)
Experience with Microsoft Office suite, especially Excel
Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required
Strong communication skills
Solid technical/analytical skills and attention to detail
Ability to thrive in a constantly evolving environment with competing priorities and deadlines
Preferred Qualifications
Prior Pharmacy, Part D, or Medicare Advantage experience
ASA
Education
Bachelor’s Degree
Anticipated Weekly Hours: 40
Time Type: Full time
Pay Range: $92,700.00 - $203,940.00
The typical pay range for this role is: $92,700.00 - $203,940.00. 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.
Great benefits for great people We 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/benefits
We anticipate the application window for this opening will close on: 02/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr
Position Summary Join a dynamic, high‑performing actuarial team supporting CVS Health and Aetna’s government services pharmacy business. This role is primarily responsible for modeling pharmacy network contracting arrangements for Aetna’s Medicare Part D business and providing actuarial support to key business partners.
Responsibilities
Support development and maintenance of models and processes to assess network contracting strategies and performance against expectations.
Work with business partners (including those in the PBM and Enterprise Pricing) to understand the details of network contracting strategies and convert these details into financial projections/modeling.
Support development of pharmacy network assumptions for Aetna’s Medicare Part D bids and forecasts.
Partner with the teams maintaining Part D pricing and forecasting models to ensure alignment on the best approach to modeling network terms/assumptions.
Effectively balance and manage competing priorities.
Act as a subject matter expert on assigned projects and concepts.
Leverage technical skills and critical thinking to design and achieve business solutions.
Required Qualifications
Bachelor’s degree along with 3+ years related experience
Prior healthcare experience required
ASA or near‑ASA (Associate of the Society of Actuaries)
Experience with Microsoft Office suite, especially Excel
Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required
Strong communication skills
Solid technical/analytical skills and attention to detail
Ability to thrive in a constantly evolving environment with competing priorities and deadlines
Preferred Qualifications
Prior Pharmacy, Part D, or Medicare Advantage experience
ASA
Education
Bachelor’s Degree
Anticipated Weekly Hours: 40
Time Type: Full time
Pay Range: $92,700.00 - $203,940.00
The typical pay range for this role is: $92,700.00 - $203,940.00. 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.
Great benefits for great people We 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/benefits
We anticipate the application window for this opening will close on: 02/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr