Manager, Actuarial - Individual Medicare Advantage

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Description :

Join a high-performing actuarial team supporting CVS Health and Aetna's Government Services Medicare Advantage business.  The primary responsibility of this role will be to perform pricing and analytic work in support of a department mission to protect Aetna's financial integrity, collaborate with business partners to provide sound risk management advice, anticipate and recognize matters that materially affect financial results, and make sound, unbiased recommendations on these matters.

Leadership: 

• Manage personal and team resources efficiently to complete projects.

• Exhibit innovative use of resources.

• Provide input into decision making process.

• Exercise decision making within scope of authority.

• Act as mentor to newer or less experience staff.

• Facilitate training and development opportunities.

Product & Business Knowledge: 

• Demonstrate understanding of existing data sources and translate into appropriate assumptions and functional business information.

• Identify/suggest alternatives/improvements.

• Demonstrate understanding of intradepartmental products, programs, processes and policies; identify and research problems and issues.

• Demonstrate understanding of regulatory compliance issues.

 
Risk Analysis & Management:

• Work with supervisor to understand the nature of specific risks. Share results of analysis with management.

• Compile and analyze filing data. Prepare and submit necessary exhibits for regulatory filings.

• Provide technical support and analysis for planning, forecasting and reporting process.  Make recommendations to supervisor.

• Develop and recommend pricing and trend for product and/or services. Understand and communicate financial impact to supervisor.

 
Technical Proficiency: 

• Develop creative technical solutions to a variety of problems. Demonstrate spreadsheeting proficiency and familiarity with database and web-based applications.

• Develop and implement appropriate tools and models.

• Recommend, implement and oversee maintenance development of enhancements to processes, tools and systems. Make suggestions to maximize efficiency.

• Develop and finalize business requirements and/or specifications for processes, tools, and systems.

• Test and oversee changes to processes, tools and systems.

 
Communication, Collaboration & Consultation: 

• Represent area in multi-functional workgroups.

• Respond to complex inquiries from internal constituents. Create and maintain accurate documentation and develop training materials for tools and processes.

• With limited direction, collaborate with internal and external constituents.

Required Qualifications

-Bachelor’s degree along with 3+ years’ of actuarial experience with strong communication skills and excellent technical ability. 

-Associate of the Society of Actuaries (ASA), or demonstrated progress toward actuarial credentials.

Preferred Qualifications

-Medicare experience is desired.

-Prior pricing experience.

-Government experience.

-Coding experience is a plus.

Education

Bachelors degree required.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/10/2026

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