1+ months

Sr Director, Actuarial Services

CVS Caremark
CA
**Job Description**

Does being on the inside of a transformational organization sound exciting to you? Well, read on! Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nations premier health innovation company. Through our health services, insurance plans and community pharmacists, were pioneering a bold new approach to total health. As a CVS Health colleague, youll be at the center of it all!

The Senior Director of Actuarial Services has a wide latitude in solving our problems that achieve results for CVS Caremark and CVS Caremark clients. You will report to the VP of Actuarial Services, Caremark and supervise a team of Actuarial professionals supporting strategic actuarial analysis and influence overall strategic direction for your client Financial Analytics and Proposals department. You will be focused on converting advanced data and analytics into business insight, identify and train CVS Caremark employees in strategies across market and region segments and participate in identifying risk.

Your Goals

Update PBM U/W Pricing Tools, Assumptions and Methodology. Assess and track multiple risk guarantees for the PBM and handle corporate trend forecasts used by our clients.

Your success will require an understanding of pricing/financial levers of our business and our clients businesses. You have understand the health plan business models, across multiple lines of business. You must also have experience influencing decision makers across departments such as clinical, sales, underwriting, IT, data science and finance. You will work with important partners at our clients to negotiate the pricing, to upsell solutions, and to achieve the clients goal for cost control and healthy outcomes.

Will maintain expert knowledge of the health insurance industry, PBM industry, current/latest medical and pharmacy trend management strategies, current/emerging CVS Caremark enterprise offerings, CVS Caremark data warehouse, drivers of CVS Caremark enterprise revenue/profitability, and drivers of health plan client revenue/profitability. You will have experience building motivated teams of knowledge-based employees with clinical knowledge and technical skills to contribute to the goals of the team. You will also have a track record that expresses the following abilities: building strategic plans, working in a cross-matrix environment, adapting and performing in a dynamic environment and developing a comprehensive understanding of CVS Caremarks enterprise assets, developing of all goals, maintaining high levels of customer satisfaction, and applying clinical expertise to make informed recommendations and decisions.

Our Perks

Comprehensive health, dental and vision insurance

401k

PTO and family leave

Employee discounts


**Required Qualifications**

Accredited Actuary (Associate or Fellow of the Society of Actuaries.) Member of the Academy of Actuaries.

10 + years of professional work experience that includes 7-10 years experience in the health care industry to include Health Plans with multiple business lines and funding arrangements.


**Preferred Qualifications**

Advanced Actuarial Skills Actuarial Standards of Practice (ASOPs).

Advanced Knowledge of CMS, Statutory, Pricing and Underwriting of Health Care.

Advanced knowledge of relational databases and warehouses, advanced SQL, OLAP and SAS skills.

Management skills with an ability to motivate a team of experienced technical professionals.

Experience implementing efficiency/solution developed from input from end-users, which satisfy the business need.

Experience leading complex work processes in a cross-department, team environment.

Experience working with Sales and Account Services.

Experience working in a geographically diverse company and in a matrix reporting environment.


**Education**

Bachelors Degree in a relevant discipline, such as finance, mathematics, or business.

Accredited Actuary (Associate of the Society of Actuaries or Fellow of the Society of Actuaries.)

Academy of Actuaries


**Business Overview**

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Categories

Posted: 2020-08-03 Expires: 2020-10-03

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Sr Director, Actuarial Services

CVS Caremark
CA

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