CVS Health

Actuary - Medicaid


Pay$60300.00 - $139200.00 / year
LocationOverland Park/Kansas
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: R0222224

      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 role provides actuarial support for the Revenue Integrity projects for all of Aetna’s Medicaid markets. Specific functions include estimating/tracking the financial impact of the various existing projects, helping to identify ways to improve the performance of existing projects, identifying potential new opportunities to improve revenue integrity. One focus area of the role is taking lead in one of the projects which involves interactions with multiple departments such as finance, clinical, operational, etc., to refine the methodologies used to identify the opportunities in each Medicaid market, coming up with needed actions to materialize the impact, and tracking the progress/impact of the project.

      Preferred Qualifications

      3+ years relevant experience

      ASA or near ASA

      Proficient in Excel and exposure to SQL

      Some prior experience in project management and interaction with multiple departments is helpful but not required.

      Education and Certification Requirements

      Bachelor's degree

      ASA or FSA

      Pay Range

      The typical pay range for this role is:

      $60,300.00 - $139,200.00

      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 jobs.CVSHealth.com/benefits

      We anticipate the application window for this opening will close on: 07/12/2024

  • About the company

      At CVS Health, we share a clear purpose: helping people on their path to better health. Through our health services, plans and community pharmacists, we’re pioneering a bold new approach to total health. Making quality care more affordable, accessible, simple and seamless, to not only help people get well, but help them stay well in body, mind and spirit.