Sr Analyst, Actuarial - ACO

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Job Description

A Brief Overview

Applies in-depth knowledge of quantitative and analytical methods to complete assigned projects and potentially function as a project team lead. Analyzes complex business and product processes to achieve business solutions.

What you will do

• Assists with establishing and implementing results-based programs and innovative initiatives for the actuarial informatics area, under general supervision.
• Applies in-depth knowledge of the actuarial informatics field to offer feedback for decisions and innovation strategies that enhance organizational growth and visibility.
• Analyzes complex liabilities and risks within healthcare data to minimize potential costs.
• Designs complex solutions for actuarial and underwriting processes to deliver the optimize workflow and deliver the right user experience.
• Communicates results and timelines for multiple projects to constituents internally and externally.
• Conducts routine maintenance and enhancements of existing systems to support actuarial team.
• Coaches more junior colleagues in techniques, processes, and responsibilities.

​Required Qualifications:

• Bachelor’s Degree or higher in Mathematics, Statistics, Actuarial Science or closely related field.
• 2-5 years of relevant industry experience in one or more of the following areas:
  • Medicare Advantage, ACO, MSSP, ACO REACH
  • Healthcare Economics
  • Pricing
  • Reserving
  • Forecasting
  • Data Analytics
• Excellent quantitative analysis abilities, grounded in epidemiology, biostatistics, econometrics, health informatics, healthcare analytics or related field.
• Strong SQL, SAS, Python, or R skills, ability to perform effective querying involving multiple tables and subqueries.
• Demonstrated ability to conduct nuanced analyses to produce accurate and unbiased results and tell the story of those results in data visualizations and reports.
• Deep knowledge of standard methods for measuring health care utilization, spending, quality, and outcomes; risk adjustment; provider profiling; and related analytical tasks.
• Examine, interpret and report results of analytical initiatives to stakeholders.
• Excellent oral and written communication skills; ability to present complex information in an understandable and compelling manner
• Ability to work independently and in team environment
• Proven ability to work in a fast-paced environment where client satisfaction is key

Preferred Qualifications:

• Attainment, or close to the attainment, of Associate of the Society of Actuaries (ASA)
• Experience with VRDC (CMS 100% Research Identifiable Files RIF) and/or LDS (5% Sample Data)
• Prior experience in value-based care settings.
• Proficient in Excel, Word and Power Point software

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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. 
 
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 Health

We anticipate the application window for this opening will close on: 09/16/2024

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