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senior actuarial analyst specialty value based care

CVS Health

<div>At CVS Health, we&rsquo;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&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; 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
This position supports the financial models design, metrics, and targets for Medicare Specialty Value Based Care (VBC) Contracts. The role will use Actuarial modeling to understand the value created and the amount of risk associated with various financial adjustments to support the development of new models and support expansion of existing models to new partners and geographies.
What you will do:<ul><li>
Prepare routine to moderately complex data manipulation to support baseline target setting.</li><li>
Collaborate with various business units and levels of leadership both internal and external.</li><li>
Applies sound actuarial judgement, draws conclusions from their analysis and develops recommendations to inform key decision makers</li><li>
Provide input into performance monitoring and contract language to ensure appropriate financial checks are enforced</li><li>
Communicate performance results and formulate recommended changes to stakeholders</li><li>
Assists department with projects or workgroups. Identifies and supports process improvement through automation or process change.</li></ul> 
Required Qualifications<ul><li>
Passed at least 2 actuarial exams</li><li>
2-5 years of actuarial experience in a healthcare setting</li><li>
Proficient in Excel, some programming experience</li><li>
Demonstrated success in collaborating with others</li></ul> 
Preferred Qualifications<ul><li>
Experience in Medicare</li><li>
Experience with SQL</li></ul> 
Education<ul><li>
Bachelor&rsquo;s degree in Actuarial Science, Math, or related areas</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$64,890.00 - $173,040.00
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. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; 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:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
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.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 01/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Senior Actuarial Analyst - Specialty Value Based Care

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