Senior Actuary - Medicare Advantage

As a Senior Actuary at CVS Health, you will be primarily focused on developing pricing factors and assumptions for Part C of Medicare Advantage. Your role entails maintaining and enhancing pricing tools, conducting pricing studies, and collaborating closely with teams across the board to identify pricing opportunities for both new and renewal business. Additionally, you will monitor emerging results to adapt and refine our strategies effectively.

To qualify for the Senior Actuary position at CVS Health, you should hold a bachelor’s degree and have at least 5 years of relevant experience in actuarial science. It's essential to possess an ASA or FSA designation, as well as experience in healthcare contexts. Proficiency in managing large datasets and strong analytical skills will be key in this role.

At CVS Health, we believe in continuous professional growth. Our Senior Actuary role not only offers opportunities for hands-on experience with pricing strategies, but also encourages the mentoring of interns and entry-level actuarial students, fostering your leadership and coaching skills. Additionally, our benefits include tuition assistance, allowing you to further your education and skill set.

The work culture for a Senior Actuary at CVS Health is inclusive and values collaboration. You will be part of a diverse team dedicated to transforming healthcare and making a real impact on millions of lives. We promote a sense of belonging and support for personal well-being, fostering an environment where everyone feels valued and empowered to contribute.

Growth opportunities for a Senior Actuary at CVS Health are abundant. As our organization continues to expand, you can transition into more senior actuarial roles or even leadership positions. Participation in various projects and cross-department collaborations will broaden your knowledge and skills, opening the door for advancement.

In answering this question, focus on specific examples where you devised or refined pricing strategies. Discuss the data analysis techniques you employed and how you collaborated with different teams to implement these strategies, emphasizing your understanding of Medicare Advantage.

Detail your analytical approach when developing pricing factors. Discuss the data sources you rely on, your methodology for analysis, and how you integrate feedback from stakeholders to ensure the assumptions are both practical and effective.

Employ a STAR (Situation, Task, Action, Result) format to describe a specific instance of cross-functional collaboration. Highlight your role in the team and the successful outcome that was achieved through effective communication and joint efforts.

Be prepared to discuss specific tools and software that you've used for actuarial tasks, such as Excel, R, or Python. Highlight any pricing software you're familiar with and how you've used it to analyze data or create pricing models in previous roles.

Explain your approach for regularly monitoring pricing performance and what metrics you track. Illustrate how you’re prepared to adapt pricing strategies based on insights gleaned from emerging results and what actions you would take to improve outcomes.

Demonstrate your knowledge of Medicare Part C by explaining its purpose, coverage options, and relevance in the healthcare system. Discuss how your understanding can influence pricing and actuarial strategies in your role.

Talk about your time management strategy that helps you prioritize tasks effectively, potentially using project management tools or techniques like the Eisenhower Matrix. Showcase your ability to adapt and ensure deadlines are met without compromising quality.

Illustrate your conflict resolution skills by describing a specific time you faced a disagreement. Highlight your listening abilities, methods used to understand different viewpoints, and the importance of finding common ground for the team's success.

Discuss the specific checks, validations, and methodologies you apply to ensure accuracy in your analyses. Mention your attention to detail and how you utilize peer reviews or automation tools to support quality assurance in your work.

Reflect on your motivations and alignment with CVS Health’s mission. Share how your values align with those of the company and express your enthusiasm for contributing to meaningful healthcare solutions that impact people's lives.