Senior Analyst, Actuarial (Medicaid) at CVS Health

Blue Bell, Pennsylvania, United States

CVS Health Logo
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Requirements

  • Passed at least 2 actuarial exams
  • 1+ years of actuarial experience in a healthcare setting
  • 1 year of analytic experience
  • Experience working with standard Microsoft Office product suite
  • Proficient in Excel
  • Some programming experience
  • Demonstrated success in collaborating with others to meet/exceed expectations
  • Bachelor’s degree in Actuarial Science, Math, or related areas

Responsibilities

  • Provide actuarial support for the Texas and Oklahoma Medicaid plans
  • Perform actuarial functions by applying expanded quantitative skills and analytical methodologies
  • Leverage strong technical skills to recommend solutions and demonstrate an advanced understanding of actuarial concepts and business acumen
  • Set own priorities within pre-established overall deadlines
  • Complete tasks independently with some direction from supervisor
  • Analysis of rates and rate development provided by the state, including evaluation of rate adequacy and actuarial soundness
  • Monitoring of plan experience and identification of opportunities for improved care management, in collaboration with plan leadership
  • Support for reserving and forecasting processes

Skills

Excel
Programming
Microsoft Office
Actuarial Analysis
Rate Development
Reserving
Forecasting
Risk Management
Quantitative Analysis

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters
1963Year Founded
DEBTCompany Stage
Healthcare, Consumer GoodsIndustries
10,001+Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
401(k) Retirement Plan
Company Equity
Wellness Program
Professional Development Budget
Paid Vacation
Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.
The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.
The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.
The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.
CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.
Increased consumer interest in wellness boosts demand for CVS's health-related products.
The trend towards value-based care aligns with CVS's integrated healthcare approach.

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