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Position Summary

This position is responsible for providing actuarial/financial support for Aetna's National Advantage Program (NAP) - over time, this position will be exposed to all aspects of financial support for the program:
• Monitor detailed program results to identify changes and trends.
• Support monthly program reporting and accrual calculations. Identify and explain drivers of monthly program results to key constituents.
• Independently respond to questions and provide ad hoc reporting, as needed. Assist with quantifying impact of customer level plan design changes.
• Assist underwriters with NAP cap reconciliations, to ensure these are completed accurately and in a timely fashion.
• Develop and maintain queries using various tools to support program reporting and analysis.
• Become acquainted with and utilize multiple data sources, to provide most accurate and relevant program information.
• Participate in the broader NAP team and contribute to a positive and collaborative team environment.
• Contribute to strategic program management by understanding, analyzing and explaining the impact of proposed program changes.
• Collaborate with cross-functional business partners (e.g., Network, Operations, Finance, Underwriting, Actuarial) to achieve program objectives.

Required Qualifications
• Bachelor's degree along with 3+ years of experience in Finance, Actuarial, Underwriting and/or Medical Economics
• 3 or more years MS Office experience (Word, Excel, Access)
• Strong analytical skills
• Adaptable and self-motivated, with ability to manage own priorities to meet deadlines, and coordinate with manager/team members, as needed
• Excellent verbal and written communication skills, to establish strong working relationships and effectively share observations and recommendations
• Well organized and detail oriented, with ability to successfully manage projects to conclusion

Preferred Qualifications
• Knowledge and experience working in the healthcare industry

- prior actuarial exams passed
• Ability to work with large and detailed data sets; e.g., SAS, SQL, Python, Google Cloud/Big Query

Education
• Bachelor's degree or equivalent experience

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

We anticipate the application window for this opening will close on: 07/31/2025

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