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Support CVS Health's financial integrity through support of the Commercial Health Plan pharmacy business. This will be achieved through developing and evaluating formulary strategy, and performing complex studies to support pharmacy rating methodology, product analysis, and analysis of legislative impacts. Will also be responsible for developing reporting to track emerging trends and identify actionable insights.
Job Responsibility:
Evaluate Commercial formulary strategy through assessing the impact of changes in drug tier and utilization management techniques to utilization, rebates, and Gross costs
Assess financial impact of potential product solutions
Assess financial impact of changes to formulary coverage per legislation or changes to company policy
Present findings and make recommendations to audiences including senior leadership and representation from cross functional teams
Coach more junior colleagues
Requirements:
Bachelor's degree along with 3+ years of actuarial experience
Prior healthcare experience is required
Strong technical skills
Excel and coding experience
Actuarial exams passed (or ASA)
Able to drive to conclusion multiple projects ranging in complexity and duration
Excellent communication skills, both written and oral
Ability to perform independent research and develop an internal network to obtain information as needed
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