Actuarial Manager - Aetna Pharmacy Performance & Profitability

l 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 setsPreferred 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&LEducation

• Bachelor's degreeAnticipated Weekly Hours
  40Time Type
  Full timePay Range

The typical pay range for this role is:$92,700.00 - $203,940.00This 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 HealthWe anticipate the application window for this opening will close on: 04/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.