Description

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

This position is responsible for overseeing pricing for Aetna Small Group ACA markets as well as monitoring of financial results for the segment.

• Contribute to achievement of profitability and membership goals by acting as a strategic partner with business partners

• Devise responsible pricing strategies to help grow membership. Recommend decisions logically based on data and business acumen that weighs the pros and cons and considers calculated risks
• Navigate several data points, possibly contradictory, and rationalize recommended course of action, recognizing risks and opportunities. Work with different areas to understand those data points.

• Coordinate the pricing and filing work required for several states

• Monitor financials for several states and communicate results with business partners

• Manage forecasting process for the segment, coordinating with multiple teams across actuarial and finance

• Set and manage priorities to meet pre-established deadlines; act independently with limited guidance from supervisor

• Management of several team members, including day to day responsibilities and professional development.
• Excellent verbal and written communication to various audiences to establish strong relationships and to effectively convey observations and recommendations

• Cultivate relationships with local regulators and negotiate terms of rate filings and approvals; communicate both in response to objections and proactively as needed

Required Qualifications

- Bachelor's degree along with 5+ years actuarial experience

- ASA (Associate of the Society of Actuaries) required

- Prior healthcare experience
- Experience with Microsoft Office suite, especially Excel
- Ability to work with large and detailed data sets

- Strong communication skills
- Solid technical/analytical skills and attention to detail

Preferred Qualifications

-Experience with ACA markets

-FSA credential

Education

Bachelor's degree or equivalent experience

Pay 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.

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 https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 12/29/2025

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