Large Group Pricing Actuary

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. The Large Group Pricing Actuary supports CVS Health's financial integrity through sound risk management practices, customer-focused product design, and pricing strategies that generate shareholder returns commensurate with the risks undertaken. The Actuarial function is responsible for anticipating and identifying issues that may materially impact financial integrity and providing objective, unbiased analysis and reporting on those matters. The Senior Actuary performs complex actuarial analyses by applying advanced quantitative techniques and analytical methodologies. This role leverages exceptional technical expertise to design and execute data studies, develop innovative solutions, and demonstrate a deep understanding of actuarial principles and business operations. The Senior Actuary also possesses the ability to issue Actuarial Communications in accordance with the Actuarial Standards of Practice. Core Functions Gross to Net Trend Forecasting and Pricing Methodology Support and evolve the Gross to Net Trend function as a foundational component of forecasting and pricing. Analyze and quantify drivers of gross and net trend, assessing their financial impact and relative significance. Refine Gross to Net methodologies, assumptions, and modeling approaches to improve accuracy, consistency, and credibility. Partner in the monthly Gross to Net process to deliver timely insights and inform pricing recommendations. Pricing and Cross-Functional Partnership Collaborate with Finance, Underwriting, Product, Network, Contracting, Sales, and market leadership to support pricing strategies and key business decisions. Provide actuarial expertise on financial performance, forecasting, budgeting, rate actions, filings, and other strategic initiatives. Communicate complex actuarial analyses and pricing implications to both technical and non-technical stakeholders. Deliver high-quality actuarial support that is timely, responsive, and aligned with business objectives. Trend Strategy and Leadership Develop and enhance trend analytics, documentation, and governance to support pricing assumptions and actuarial decision-making. Lead ongoing improvements to trend methodologies, tools, and team knowledge. Provide senior leadership with actionable insights on trend drivers, pricing recommendations, risks, and tradeoffs. Monitor industry, competitive, regulatory, and macroeconomic developments to inform trend assumptions and pricing strategies. Keys to success: Prepares and delivers complex, high-profile actuarial work, providing creative solutions to non-standard business challenges and taking ownership of the overall work product. Collaborates effectively across functions on complex initiatives and influences key business decisions through clear, data-driven recommendations. Independently reviews work for accuracy, identifies business risks, and develops actionable recommendations. Demonstrates the ability to issue an Actuarial Communication as defined by the Actuarial Standards of Practice. Develops actuarial strategies by leveraging industry trends, economic factors, competitive intelligence, and business objectives. Uses multiple data sources and creative problem‑solving to drive business outcomes. Builds consensus and resolves conflicts through effective written and verbal communication. Leads or supports departmental projects and process improvements, including automation and operational enhancements. Identifies development opportunities and recommends, creates, and delivers appropriate training solutions. Coaches, mentors, and provides feedback to less experienced actuarial professionals to support technical growth and subject matter expertise. This role has the potential to manage up to two actuarial professionals. Required Qualifications Bachelor's degree along with 5+ years of actuarial experience. ASA (Associate of the Society of Actuaries) designation. Preferred Qualifications FSA (Fellow of the Society of Actuaries) or actively working towards FSA designation Ability to thrive in a constantly evolving environment with competing priorities and deadlines. Ability to collaborate with key stakeholders to formulate recommendations and course of actions. Education Bachelor's degree required. Pay Range The typical pay range for this role is: $118,450.00 - $260,590.00 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. 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 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. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr NACBA