Medicare Actuarial Analyst - Pricing & Insights

CVS Health; Providence (RI); On-site; USD 65,000 - 159,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Paid time off

Job summary

CVS Health is seeking an actuarial analyst to join a high-performing Medicare bid pricing team. The role focuses on pricing, data analysis, forecasting, and regulatory filings to support Medicare Advantage programs and the department's financial integrity.

You will translate complex data into actionable insights, develop pricing assumptions, collaborate with cross-functional partners, and mentor junior team members as part of a supportive, mission-driven environment.

Qualifications

• 2+ years of actuarial experience.
• Progress toward ASA with at least two exams passed.
• Strong analytical and problem-solving skills.
• Experience with complex data and developing business insights.
• Ability to communicate technical findings and recommendations effectively.
• Bachelor’s degree or equivalent experience.

Responsibilities

• Support Medicare bid filing development, analysis, and submission activities.
• Compile and analyze filing data and prepare exhibits for regulatory filings.
• Develop and recommend pricing and trend assumptions for Medicare Advantage products and services.
• Provide technical support and analysis for planning, forecasting, and reporting processes.
• Analyze financial results and communicate business impacts and recommendations.
• Work with leadership to understand business risks and share analytical findings with management.
• Translate data into actuarial assumptions and actionable business insights.
• Support ongoing evaluation and enhancement of pricing methodologies and business processes.

Skills

Actuarial experience

ASA progression

Analytical skills

Data analysis

Communication skills

Education

Bachelor's degree or equivalent

Job description

CVS Health is seeking an actuarial analyst to join a high-performing Medicare bid pricing team. The role focuses on pricing, data analysis, forecasting, and regulatory filings to support Medicare Advantage programs and the department's financial integrity.

You will translate complex data into actionable insights, develop pricing assumptions, collaborate with cross-functional partners, and mentor junior team members as part of a supportive, mission-driven environment.