Medicare Actuarial Pricing & Analytics Analyst

CVS Health Corporation; Hartford (CT); On-site; USD 65,000 - 159,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health Corporation in Hartford, CT is seeking an actuarial analyst to support Medicare bid filings and pricing analysis for Government Services Medicare Advantage.

The role emphasizes developing pricing assumptions, building models, and presenting findings to leadership, while collaborating across teams.

Expect a collaborative, fast-paced environment with a focus on accuracy, safety and quality, and opportunities for professional growth.

Qualifications

• 2+ years of actuarial experience.
• Progress 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.

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.
• Manage personal resources effectively to meet project timelines and deliverables.
• Provide input into decision-making processes and exercise sound judgment within scope of responsibility.
• Support and mentor less experienced team members.
• Collaborate with internal and external business partners to support departmental objectives.

Skills

Actuarial experience

ASA progress

Analytical skills

Data analysis

Communication

Education

Bachelor's degree or equivalent experience

Tools

Excel

SQL

Databases / Web apps

Job description

CVS Health Corporation in Hartford, CT is seeking an actuarial analyst to support Medicare bid filings and pricing analysis for Government Services Medicare Advantage.

The role emphasizes developing pricing assumptions, building models, and presenting findings to leadership, while collaborating across teams.

Expect a collaborative, fast-paced environment with a focus on accuracy, safety and quality, and opportunities for professional growth.