Senior Actuary - IFP & Risk Mitigation

for monitoring and evaluating the financial performance of our Individual Exchange business. This role will specifically focus on ACA risk adjustment modeling and analytics. The position is a managerial role overseeing a small team of actuaries responsible for three key functions related to risk adjustment: 1) ownership of the internal algorithm to calculate member level ACA risk scores, 2) financial estimates of the risk transfer position, and 3) valuation of HCC conditions captured through various Revenue Integrity initiatives, such as chart-chase and health home visits. This position is a highly technical, non-traditional actuarial role that requires experience in and a keen interest for working with and creating large datasets in SQL/SAS/R (including enrollment, medical, and pharmacy claim data). The candidate will partner closely with the Revenue Integrity team to drive innovations and improvements in diagnosis code capture/The ideal candidate is adaptable, organized, collaborative, has experience building models, analyzing detailed datasets, and clearly communicating the results of their analysis to a variety of audiences. Candidate should have attention to detail, problem-solving capabilities, and solid communication skills with both technical and non-technical audiences. If you are looking for a visible opportunity to work with many stakeholders (Finance, Actuarial Pricing/Forecasting, IFP leadership, Revenue Integrity, etc) and help to drive measurable performance, we encourage you to apply.Required Qualifications

Bachelor's degree and 5+ years of related experience

ASA designation

Analytical and model-building skills require

Experience working with claims data in SAS/SQL.Preferred Qualifications

Prior experience or familiarity with Public Exchanges and/or with CMS risk adjustment models.

Experience with analyzing data sets in R. Actuarial ASA designation.Education

Bachelor's degree or equivalent experiencePay 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.

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: 03/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.