Medicare Actuarial Pricing & Analytics Analyst

CVS Health Corporation; Harrisburg (Dauphin County); On-site; USD 65,000 - 159,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits package

Job summary

CVS Health Corporation is seeking an actuarial professional to join the Government Services Medicare Advantage pricing team. You will perform pricing, forecasting, and data analysis to support bid filings and strategic decision making.

This role emphasizes collaboration with business partners, development of actuarial models, and translating complex data into actionable insights while ensuring accuracy, risk management, and high-quality results across projects.

Qualifications

• 2+ years of actuarial experience.
• Progression toward Associateship in the Society of Actuaries (ASA), including at least two actuarial exams passed.
• Strong analytical and problem-solving skills.
• Experience working 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.
• Develop creative technical solutions to actuarial and business problems.
• Build, maintain, and enhance actuarial tools and models.
• Demonstrate advanced spreadsheet proficiency and familiarity with database and web-based applications.
• Recommend and implement process, tool, and system enhancements to maximize efficiency.
• Develop business requirements and specifications for actuarial tools and processes.
• Test and support changes to actuarial models, tools, and systems.
• Identify opportunities for automation and process improvement.
• Collaborate with leadership and cross-functional teams to meet timelines and deliverables.

Skills

Analytical skills

Problem-solving

Communication of technical findings

Experience with complex data

Education

Bachelor's degree or equivalent

Job description

CVS Health Corporation is seeking an actuarial professional to join the Government Services Medicare Advantage pricing team. You will perform pricing, forecasting, and data analysis to support bid filings and strategic decision making.

This role emphasizes collaboration with business partners, development of actuarial models, and translating complex data into actionable insights while ensuring accuracy, risk management, and high-quality results across projects.