Actuarial Manager - Aetna Pharmacy Performance & Profitability Job at CVS Health, West Hartford, CT

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  • CVS Health
  • West Hartford, CT

Job Description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.


Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This is a key strategic role responsible for support performance and profitability on the Aetna pharmacy team by driving high-performance pharmacy management across all Aetna lines of businesses. This position will collaborate with various actuarial and cross-functional teams to drive a consistent performance management process for review of financial and satisfaction metrics, creating transparency to executive leadership. This position will also support the preparation of pharmacy business cases to drive optimized performance, and manage the strategic relationship between Aetna and Caremark.

Responsibilities include:
  • Build and maintain KPI metrics dashboards that provide senior leadership standardized, meaningful, and transparent reporting into performance of the pharmacy business. Exhibit innovative use of resources.
  • Leverage various internal and external data sources to quantify risks/opportunities
  • Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to cross-functional workgroups
  • Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice and optimize enterprise value, leveraging strong communication and networking skills
  • Analyze pharmacy trend drivers and determine opportunities to drive to low cost of care
  • Develop strategic relationships with all Aetna LOBs to create transparency and inform trend and forecast projections
  • Develop creative technical solutions to incorporate efficiencies into daily work

Required Qualifications

- Bachelor's degree along with 3+ years of relevant experience

- ASA credential/near ASA

- Must have healthcare experience

- Strong communication skills

- Ability to think creatively and use multiple data sources to assess and develop business strategies

- Ability to effectively manage multiple priorities

- Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business

- Experience with large and detailed data sets

Preferred Qualifications

- Experience in SQL or similar programs

- Experience in pharmacy-related work

- Knowledge of different Aetna segments and how unique components within each LOB impact P&L

Education

- Bachelor's degree

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $203,940.00

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.


In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.


For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 04/30/2025

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

Job Tags

Hourly pay, Full time, Temporary work, Local area, Holiday work,

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