Actuary - Medicare Part D
$83.43k - $185.4kHispanic Alliance for Career Enhancement
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. Join a high‑performing actuarial team supporting CVS Health and Aetna's dynamic and growing Government Services Part D business. This role focuses on developing, enhancing, and maintaining technical models and processes that support the Part D line of business. Key Responsibilities Conduct modeling activities related to technical development and maintenance, pricing, regulatory reform, SAI support, process improvement, automation, documentation, and validation. Take ownership of assigned components of Part D models; collaborate effectively and communicate clearly across teams. Develop, enhance, and maintain robust Part D models and supporting processes. Apply strong critical thinking to solve complex business problems. Leverage advanced programming, Excel, and other tools to efficiently process and analyze large datasets. Maintain clear and thorough documentation to support cross‑training and alignment across models. Create exhibits and narratives that effectively communicate insights and recommendations to both technical and non‑technical audiences. Implement process improvements through automation and process optimization. Independently review work for accuracy and reasonableness; interpret and validate model results. Respond to internal and external inquiries related to modeling outputs. Communicate findings, insights, and recommendations clearly to a variety of stakeholders. Required Qualifications Bachelor's degree and 3+ years related actuarial experience. 3+ years working with large and detailed data sets. 3+ years of strong technical skills – SAS and/or GCP (Google Cloud Platform), SQL, Python a plus. Preferred Qualifications Actuarial students with progress through actuarial exams near ASA. Previous Medicare Part D or pharmacy experience. Education Bachelors Degree required. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is $83,430.00 – $185,400.00. 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. 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, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$83.43k - $185.4k
Hispanic Alliance for Career Enhancement is looking for an Actuary role focused on developing and maintaining Part D models. Candidates should have a Bachelor's degree, 3+ years of actuarial experience, and skills in SAS, GCP, SQL, and Python. This full-time position in...SuggestedFull time$129.3k - $177.8k
Humana Inc. seeks an Actuary for Pricing to set pricing assumptions and submit bids. This remote position involves analyzing financial metrics and providing guidance on product cost impacts, ensuring compliance with regulations. A Bachelor's Degree and relevant professional...SuggestedRemote job$143k - $243k
...future of pharmacy with us. Senior Principal Actuary - REMOTE Job Description The Senior... ...Previous experience pricing Commercial, Medicare or Medicaid lines of businesses. Previous... ...need a reasonable accommodation for any part of the employment process, please contact...SuggestedWork experience placementLocal areaRemote workVisa sponsorshipWork visa$129.3k - $177.8k
Become a part of our caring community The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork experience placementRemote workWork from homeHome officeShift work$81.07k - $129.71k
Job Description We are seeking a motivated Actuarial Analyst to join our Medicare Pricing Team. In this role, you will apply your mathematical and statistical... ...business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an...Suggested$124k - $211k
...Prime Therapeutics is seeking a Lead Actuary for Pharmacy Pricing in Nashville, TN. The role involves leading pharmacy pricing analyses, mentoring team members, and providing strategic pricing guidance. The ideal candidate will have a Bachelor's degree in a relevant field...Remote work$124k - $211k
...Job Description The Lead Actuary – Pharmacy Pricing leads complex pharmacy pricing and rebate guarantee analyses for Prime’s existing... ...skills Preferred Qualifications Experience pricing Commercial, Medicare, and/or Medicaid pharmacy benefits Demonstrated experience leading...Work experience placementLocal areaRemote workVisa sponsorshipWork visa- ...Nurse Licensure Compact (NLC). What We Prefer You Have Utilization Review / Medical Review experience. MCS System knowledge. Medicare Part B knowledge. CMS knowledge. Knowledge of claims systems. Proficiency with Microsoft Office applications such as Word,...Full timeFor contractorsCurrently hiringWork at officeLocal areaMonday to Friday
$143k - $243k
...A leading healthcare company is seeking a Senior Principal Actuary to provide actuarial direction and thought leadership. This remote position involves creating actuarial modeling concepts and strategic consulting. Candidates should have 10 years of actuarial experience...Remote work- ...Chief Actuary (CA), Director, Actuarial Analytics About the Company Forward-thinking insurance & reinsurance company Industry Insurance Type Privately Held About the Role The Company is seeking a Chief Actuary (CA), Director, Actuarial Analytics to...
$165k - $200k
Socotra, Inc. is seeking an AVP, VA Financial Reporting Actuary Manager to lead the Variable Annuity financial reporting team in Nashville, TN. The role involves managing US GAAP and statutory reserves reporting, cash flow testing, and developing team members. Strong actuarial...- Blue Cross and Blue Shield of North Carolina is looking for a motivated Actuarial Analyst to join their Medicare Pricing Team in Tennessee. In this role, you will apply your statistical knowledge to support various activities including rating, valuation, and financial...
$129.3k - $177.8k
A health services organization seeks an Actuary specializing in Analytics and Forecasting to analyze financial and economic data for strategic decisions. The role involves collaborating with stakeholders, providing insights on medical claims trends, and delivering actionable...Remote jobWork at office- Oliver James is searching for a Senior Actuarial Analyst for a US primary care platform operating under a value-based care model. The role involves developing models for forecasting risk-adjusted revenue and evaluating financial impacts of interventions. The ideal candidate...
- ...information Ref # 22169 Remote? Yes The Opportunity The Senior Actuarial Analyst is responsible for developing and supporting a robust pricing... ...and across the broader organization Work collaboratively as a part of the product development, pricing, and/or reserving processes...Permanent employmentWork at officeRemote workFlexible hours
$81.07k - $129.71k
Job Description Join our team as an Actuarial Analyst, where you will use your expertise in mathematics, probability, statistics, and... ...eventual attainment of the ASA. Bonus Points Experience in Medicare Part D pricing preferred Some experience and technical skills...$140k - $160k
A premier consulting firm in Tennessee seeks an Assistant Vice President or Senior Consultant to lead actuarial and financial work on private equity and mid-market clients. The ideal candidate has 6-12 years in the health care industry and proven project management skills...$165k - $200k
...ability to pursue further growth and provide innovative solutions for the global insurance industry. AVP, VA Financial Reporting Actuary Manager role is a key position that leads, delivers, and directly participates in the key deliverables of the Variable Annuity financial...Work at office- As a Healthcare Financial/Actuarial Senior Analyst you will contribute to a wide variety of complex analyses and projects involving the... ...Self‑starter attitude and ability to work independently and as part of a team. Strong analytical, creative, and integrative skills...Temporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours
$50 - $60 per hour
...and the freedom to set your own schedule. This role is designed to fit a variety of lifestyles — whether you’re looking to contribute part-time alongside a current position, pursue it full-time, or engage periodically as a flexible professional opportunity. We're...Hourly payContract workWork experience placementRemote workFlexible hours- BlueCross BlueShield of South Carolina is seeking an Appeals Analyst. This role requires researching complex appeal requests, conducting clinical reviews, and ensuring compliance with medical necessity guidelines. Candidates should have an Associate's degree, nursing license...Full timeWork from homeMonday to Friday
- ...401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full‑time or part‑time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on...Full timePart timeWork at officeShift workNight shiftWeekend workDay shift
$80k - $105k
...growth and provide innovative solutions for the global insurance industry. Click here for more information about Fortitude Re. Sr. Actuarial Analyst, ADP will be a member of the Enterprise Risk Management (ERM) team for their first rotation. They will assist the...Work at office- About the Company Select Actuarial Services is an independent property and casualty actuarial consulting firm. We specialize in the analysis of risks retained by non-insurance entities, either through self‑insurance or captive insurance company arrangements. We have an...Live inRelocation
$81.07k - $129.71k
Blue Cross and Blue Shield of North Carolina is seeking an Actuarial Analyst to support various actuarial functions including pricing, valuation, and healthcare economics. The role involves performing actuarial research, calculating premiums, and providing support to senior...- Overview Select Actuarial Services is an independent property and casualty actuarial consulting firm. We specialize in the analysis of risks retained by non‑insurance entities, either through self‑insurance or captive insurance company arrangements. We have an established...Currently hiringRelocation
- ...operating under a value-based care model in their search for a Senior Actuarial Analyst. Responsibilities Within this role you will develop and maintain models to forecast risk-adjusted revenue across Medicare Advantage contracts. You will work to develop and maintain...
- Acord (association For Cooperative Operations Research And Development) in Nashville is seeking an experienced actuarial consultant to join their team. Responsibilities include analyzing data using spreadsheets, running loss modeling software, and engaging with clients....
$80k - $110k
A leading global reinsurance provider in Nashville, TN is seeking a Senior Actuarial Analyst. The role involves valuations, financial analysis, and model management while participating in the Actuarial Development Program. Minimum qualifications include a bachelor's degree...- Select Actuarial Services in Nashville, Tennessee is seeking a qualified team member for actuarial projects. The role involves technical analyses, data analysis in spreadsheets, and accuracy checks. Applicants should have an undergraduate degree in math or actuarial science...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Actuary - Medicare Part D. Be the first to apply!
- healthcare actuary Nashville, TN
- senior actuarial analyst Nashville, TN
- actuarial analyst Nashville, TN
- consulting actuary Nashville, TN
- senior actuary Nashville, TN
- financial actuary Nashville, TN
- pricing actuary Nashville, TN
- medicare sales agent remote Nashville, TN
- medicare manager Nashville, TN
- medicare billing specialist Nashville, TN


