Actuary - Medicare Part D

Remote Full-time
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Join a dynamic, high-performing actuarial team supporting CVS Health and Aetna’s government services pharmacy business. This role is primarily responsible for modeling pharmacy network contracting arrangements for Aetna’s Medicare Part D business and providing actuarial support to key business partners. The colleague will: Support development and maintenance of models and processes to assess network contracting strategies and performance against expectations. Work with business partners (including those in the PBM and Enterprise Pricing) to understand the details of network contracting strategies and convert these details into financial projections/modeling. Support development of pharmacy network assumptions for Aetna’s Medicare Part D bids and forecasts. Partner with the teams maintaining Part D pricing and forecasting models to ensure alignment on the best approach to modeling network terms/assumptions. Effectively balance and manage competing priorities. Act as a subject matter expert on assigned projects and concepts. Leverage technical skills and critical thinking to design and achieve business solutions. Required Qualifications Bachelor’s degree along with 3+ years related experience Prior healthcare experience required ASA or near-ASA (Associate of the Society of Actuaries) Experience with Microsoft Office suite, especially Excel Experience with SAS, SQL, R, Python a plus, working with large and detailed data sets is required Strong communication skills Solid technical/analytical skills and attention to detail Ability to thrive in a constantly evolving environment with competing priorities and deadlines Preferred Qualifications Prior Pharmacy, Part D, or Medicare Advantage experience ASA Education Bachelor's Degree Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $92,700.00 - $203,940.00 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 02/06/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
Apply Now →

Similar Jobs

Federal Government Relations Manager

Remote Full-time

IT Application Development - Journey (two posit...

Remote Full-time

(HS-M) (ScQiaNbI) - Easy Mobile Phone Website U...

Remote Full-time

Executive Communications Consultant

Remote Full-time

Contract Recruiter (Freelance / Short-Term Enga...

Remote Full-time

Staff Product Marketing Manager | Sweden | Remote

Remote Full-time

Senior Backend Engineer – Grafana k6 | Germany | Remote

Remote Full-time

Senior Backend Engineer – Grafana k6 | Spain | Remote

Remote Full-time

Senior Backend Engineer – Grafana k6 | UK | Remote

Remote Full-time

Lead Product Designer

Remote Full-time

Experienced Remote Data Entry Specialist – Flexible Work from Home Opportunity with arenaflex for Detail-Oriented and Tech-Savvy Individuals

Remote Full-time

Medical Claim Lead Auditor (Remote)

Remote Full-time

Experienced Medical Compliance Auditor; Chappaqua

Remote Full-time

Remote Video Operator - Join the Disney Team ($27/hour, No Experience Required)

Remote Full-time

Experienced Data Entry Professional – Remote Opportunity for Detail-Oriented Individuals with Strong Administrative Skills

Remote Full-time

Case Mgr Behavioral Health (Crisis Triage) - remote (PA/NJ/DE)

Remote Full-time

Cloud Operations Tech Support Analyst

Remote Full-time

Experienced Remote Customer Service Representative – Delivering Exceptional Support and Driving Customer Satisfaction in the Health Insurance Industry

Remote Full-time

Adjunct Lecturer, Applied Deep Learning and AI (Online, Fall '26)

Remote Full-time

Remote Administrator on Call

Remote Full-time
← Back to Home