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

Support CVS Health’s financial integrity with sound reserving and risk management practices as well as product designs that meet customer needs and pricing that produces returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues.

REQUIRED QUALIFICATIONS

• Monthly, determine required actuarial liabilities for the DCS / Med Supp businesses.
• Transition the existing Medicaid actuarial IBNR model from the Medicaid business actuarial team to the valuation team. Over an accelerated period take ownership of the model.
• Serve as the appointed actuary for various legal entities, including providing annual actuarial opinions and memorandums for those entities. Note that this requires meeting the Specific Qualification Standard for providing a Statement of Actuarial Opinion, NAIC Health Annual Statement.
• Serves as a business partner to the DCS / Med Supp business actuarial and finance teams. Provide insights regarding the level of medical costs recognized and changes to prior periods.
• Oversee the statutory PDR process for all lines of business and ensure consistency between statutory and GAAP PDR calculations.
• Complete annual gross premium valuations for Medicare Supplement business.
• Manage the relationship with the external vendor for cash flow testing work, in support of long duration businesses in a number of statutory legal entities.
• Lead vendor payment workstream in support of statutory medical loss ratio reporting.
• Provides required materials and responds to internal and external auditor questions.
• Builds tools and models that help to understand and address variances to expected performance.

PREFERRED QUALIFICATIONS

• 7-15 years work experience
• Clearly communicates technical concepts. Gears communications to her/his target audience.
• Adept at execution and delivery skills
• Adept at business intelligence
• She/he is collaborative. She/he welcomes feedback and openly shares feedback with others.
• Mastery of problem solving and decision making skills
• Mastery of growth mindset (agility and developing yourself and others) skills

EDUCATION

• Bachelor’s degree
• FSA or ASA of the Society of Actuaries
• Member of the American Academy of Actuaries
• Meets the Specific Qualification Standard of the American Academy of Actuaries, for providing a Statement of Actuarial Opinion, NAIC Health Annual Statement. Must meet this qualification for the 2025 year end period.

Please refer the Job description for details