Lead Director; Actuarial - Medicare Part D

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Position Summary

Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing government services pharmacy business. 

This role manages a small team that develops, analyzes, and reports on formulary strategies, manufacturer rebate value, and clinical programs - all with an eye toward optimizing the cost structure of our Part D offerings including MAPD, SNP, and PDP products.

The colleague will:

• Take full ownership of assigned processes; manage direct reports and collaborate with other functional SMEs to complete strategic assessments, meet deadlines, and achieve goals
• Effectively communicate, collaborate, and share results across teams
• Act as a subject matter expert on Part D formularies, rebate structures, clinical program value, and integrate team's results with work performed by others, influencing matrix partners
• Anticipate and recognize matters that materially affect financial results and direct team to develop sound, unbiased recommendations on how to resolve these matters
• Leverage strong technical skills and critical thinking to design and achieve business solutions
• Influence Tool Development to improve efficiency and accuracy

Required Qualifications

• Bachelor’s degree along with 10+ years related experience
• Must be an ASA or FSA and a member of the American Academy of Actuaries able to sign actuarial certifications.
• Prior healthcare experience
• Experience with Microsoft Office suite, especially Excel
• Experience working with large and detailed data sets

• Excellent interpersonal, organizational, written, and oral communication and presentation skills 

• Solid technical/analytical skills and attention to detail

Preferred Qualifications

• Previous Pharmacy or Medicare Part D experience
• FSA designation
• Experience with SAS, SQL, R, Python
• Experience working with cross-functional partners to develop and align on strategic direction
• Experience preparing exhibits and narratives for executive audiences

Education

• Bachelors’ degree or equivalent experience

Pay Range

The typical pay range for this role is:

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

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