Senior Actuary - Network

4062 Aetna Resources, LLC; Town of Texas (WI); Hybrid; USD 118,000 - 237,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring a Senior Actuary for Network analytics to shape discount reviews, pricing and contracting strategies across markets.

The role collaborates with network, MEU, and commercial actuarial teams to transform data into actionable insights and measurable outcomes. Strong communication, programming skills, and adaptability are essential to succeed in a fast-paced health care environment.

Qualifications

• Bachelor's degree with 5+ years of actuarial/analytical experience.
• ASA designation (American Society of Actuaries) is required or in progress.
• Excellent written and verbal communication skills.
• Programming experience: SQL, SAS, Python, R.
• Ability to service internal and external customers in a dynamic environment.
• Strong problem-solving and strategic thinking capabilities.

Responsibilities

• Discounts: develop quarterly market-level discount review for regional leaders.
• Emerging Trend Analytics: drive data-driven contract negotiation strategies.
• Pricing: support pricing for various networks and contract reviews.
• Contracting: build tools and analyses for market priorities and provider contracts.

Skills

Communication

Problem solving

Strategic thinking

Adaptability

Education

Bachelor's degree

ASA designation

Tools

SQL

SAS

Python

R

Job description

About the role

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Actuary - Network position within the network analytics team provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities. The market-specific responsibilities will provide individuals with the opportunity to develop in-depth knowledge of market dynamics and to establish strong cross‑functional relationships with key business partners, including network, MEU, and commercial actuarial teams. Additional core areas of focus include network discounts, emerging trend analytics, and pricing and contracting support.

Key responsibilities

• Discounts – Develop a quarterly, market‑level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for future negotiations. Provide meaningful information to the field on the impact and expected timing of new negotiations beyond current consultant benchmarking.
• Emerging Trend Analytics – Engage cross‑functionally with Network, MEU, and other teams to drive enhanced contract negotiation strategies using data‑driven recommendations for MedRx and Behavioral Health.
• Pricing – provide support for Aetna Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across all Commercial market segments. Validate and refine pricing using contracting insights such as trend, PCRs, and area factors during Large Group Rate Review.
• Contracting Support – Build a suite of tools and analyses to provide optimal strategic support for Priority Markets and Strategic/Enhanced Providers. Address a complex and error‑prone mix of state‑specific standard contracts by selecting a single, competitive fee schedule that is consistent across state lines.

Required Qualifications

• Bachelors degree along with 5+ years of actuarial and/or analytical experience with strong technical, analytical, and financial skills.
• ASA designation.

Preferred Qualifications

• Excellent written and verbal communication skills.
• Programming (SQL, SAS, Python, R) experience.
• Provide superior customer service to both internal and external constituents.
• Thrive in a constantly evolving environment with competing priorities and deadlines.
• Problem solving skills are critical as many of the concepts are new or in development.
• Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined.

Education

Bachelor's degree required.

Pay Range

The typical pay range for this role is: $118,450.00 - $236,900.00 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. This position also includes an award target in the company’s equity award program.

Benefits

• We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 10/12/2026

Other

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.