Actuary - Network Performance & Execution

CVS Health • Blue Bell, PA • 36min ago

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.

Position Summary

This position within the Network Performance and Execution organization provides the financial and analytical support in alignment with market/business growth priorities.

The candidate will gain insight into the complexity of network contracting and provider relations in an effort to make measurable financial impact across the company.

As a Network Manager, you will play a key role in developing and maintaining the analytical tools necessary to make network contracting decisions.

This role will focus specifically on expanding the competitiveness of our core Commercial business as well as VBC (Value Based Care) models which include Accountable Care Organizations (ACOs), Joint Ventures (JVs), and other Value Based Contracts.

The position will provide ample opportunity to cross-collaborate with multiple business units and partners in order to ensure the success of network contracting efforts.

The network performance team is a critical asset to the organization and has proven agile in evolving to support the strategy of the broader organization. There is the expectation for this team to continue to drive value to the business by applying best-in-class service to our key stakeholders.

Key Responsibilities Include:

Own and provide support for key narrow network pricing tools

Create and evaluate the appropriateness of pricing assumptions and make recommendations as necessary

Analyze network performance data and suggest cost mitigation strategies across multiple products and segment lines

Develop new processes and tools, adding value to key provider negotiations for superior contracting support.

Monitoring performance of existing networks and products to ensure adequate and competitive pricing

Evaluate contract cost outliers and drive for improvement to better position Aetna in the marketplace

Utilize various data sources to identify drivers and potential opportunities to improve performance

Create and foster strong partnerships with multiple business partners

Required Qualifications

Bachelor's degree along with a minimum of 3+ years of actuarial and/or analytical experience

Strong technical, analytical, communication and financial skills

Experience in Excel and data manipulation

Thrive in a constantly evolving environment with competing priorities and deadlines

Preferred Qualifications

2+ years healthcare industry experience

Experience in VBA, Power BI, Access, SQL, Google Cloud BigQuery

Excellent written and verbal communication skills

Provide superior customer service to both internal and external constituents

Problem solving skills are critical as many of the concepts are new or in development

Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours

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: 01/23/2026

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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