Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This position is responsible for rate development and filings in the Individual ACA markets as well as monitoring of financial results for one of four regions:

• Contribute to achievement of profitability and membership goals by acting as a strategic partner with business partners

• Coordinate the pricing and filing work required for multiple states

• Set and manage own priorities to meet pre-established deadlines; act independently with limited guidance from supervisor
• Cultivate relationships with local regulators and negotiate terms of rate filings and approvals; communicate both in response to objections and proactively as needed
• Excellent verbal and written communication to various audiences to establish strong relationships and to effectively convey observations and recommendations
• Develop or recommend initiatives to drive down cost structure so price points can be competitive and achieve required financial goals
• Devise responsible pricing strategies to help grow membership. Recommend decisions logically based on data and business acumen that weighs the pros and cons and considers calculated risks
• Navigate several data points, possibly contradictory, and rationalize recommended course of action, recognizing risks and opportunities. Work with different areas to understand those data points.
• Work with multiple business partners (Segment Management, Network, Contracting, Product, Finance, Compliance, External Consultants) to achieve pricing and product objectives

• Monitor financials for several states and communicate with business partners

• Develop reporting packages within ACA actuarial team to enhance financial management process
• Participate with the broader ACA team and foster a team environment of trust and collaboration.

Required Qualifications
- Bachelor's degree along with 3+ years related experience in healthcare
- Experience with Microsoft Office suite, especially Excel

- ASA designation
- Ability to work with large and detailed data sets; SAS, SQL, Power BI a plus
- Strong communication skills
- Solid technical/analytical skills and attention to detail

Preferred Qualifications

Experience with ACA markets

ASA credential

Education

Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00

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. 
 
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

We anticipate the application window for this opening will close on: 02/28/2025

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