Actuary - Commercial Large Group Trend & Rate Review

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.

This is a dual role that serves as a member of the functional Actuarial team that works on Large Group Trend and Rate Review while also providing local market actuarial support to the Central Region.

Serve as a member of the functional team in charge of the Commercial Large Group Trend and Rate Review

• Build out trend analytics, documentation, and communication to support market actuaries in assumption setting during the large group rate review.
• Lead continuous improvement and education as it relates to trend setting.
• Take learnings from various internal discussions related to trend and communicate those learnings to our broader large group pricing actuarial team.
• Seek out external resources to help understand macro drivers of trend.
• Participate as a critical team member to help coordinate the National Large Group Rate Review process.
• Provide valuable feedback on the Rate Review process to help develop and implement best practices for future cycles including but not limited to the trend setting process.

Support the Central Region as an actuarial subject matter expert for South Central (TX, OK, NM) markets

• Collaborate with the Plan President, Sales, Finance, Underwriting, Network, Contracting, and Product to develop market specific growth strategies while maintaining enterprise alignment
• Proactively monitor financial performance and provide observations/insights into deep dives
• Participate in the Implementation and Forecasting/Budget discussions
• Oversee the Large Group Rate Filings/DOI objections when applicable
• Takes accountability to ensure market specific requests and deliverables are met in a timely and responsive manner
• Meet with the market to discuss technical results including but not limited to rate actions, trend and prior carrier relativity factors, and area factors

Keys to success:

• Demonstrate understanding of complex actuarial functions as well as the market specific dynamics including the competitive landscape
• Build and facilitate creation of initiatives to drive down cost structure
• Take full ownership of complex assignments and act as the trusted lead for the market
• Communicate actuarial findings to business partners
• Anticipate the market’s needs and be able to influence and further recommend corrective courses of action to maintain profitable growth
• Demonstrate leadership that fosters and supports a strong team of individual contributors
• Support actuarial and underwriting functions by applying quantitative skills and analytical methods

Required Qualifications

• Bachelor's degree along with 3+ years of actuarial experience
• ASA (Associate of the Society of Actuaries) designation preferred (or close to ASA.
• Strong technical, analytical, and financial skills
• Excellent verbal and written communication skills
• Ability to think creatively and use multiple data sources to assess and develop business strategies
• Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business

Preferred Qualifications

• FSA (Fellow of the Society of Actuaries) or actively working towards FSA designation
• Ability to thrive in a constantly evolving environment with competing priorities and deadlines
• Ability to collaborate with key stakeholders to formulate recommendations and course of actions

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: 11/28/2025

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