Decision Scientist - Healthcare Actuary

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
Join our team of healthcare data scientists as we develop the next generation of risk prediction models. We are looking for an experienced actuary with a foundation in actuarial methodologies and training in data science to bridge traditional actuarial expertise with modern machine learning techniques. This role will allow you to leverage your background and skills to help provide insights and model solutions to stakeholders across the CVS Health & Aetna organizations.

Our team routinely utilizes petabytes of data paired with extensive industry knowledge of actuarial partners to develop best-in-class machine learning models. As we expand our team to tackle new and diverse use cases,  you can help us overcome new challenges & build new solutions using innovative machine learning techniques. If you are passionate about problem-solving, quantitative analysis, and applying actuarial science in the realm of data science, we encourage you to apply.

Overview:

• Develops, validates and executes algorithms and predictive models to investigate problems, detect patterns and recommend solutions
• Explores, examines and interprets large volumes of healthcare utilization data in various forms
• Performs analyses of predominantly structured data to solve moderately complex business problems, utilizing advanced statistical techniques and mathematical analyses
• Develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs
• Uses data visualization techniques to effectively communicate analytical results and support business decisions
• Creates & evaluates the data needs of assigned projects and assures the integrity of the data
• Documents projects including business objectives, data gathering and processing, detailed set of results and analytical metrics
• A person in this position will gain extensive experience with SQL, Python, Spark & Cloud computing (AWS, GCP, MS Azure)

Required Qualifications

• Bachelor's degree in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline
• 3+ years Health Insurance Actuarial experience, including proven ability to communicate and consult effectively with internal or external clients
• 3+ years of professional experience in data analytics, BI, data engineering or applied data science
• 3+ years of experience with SQL and/or Python/R
• Fewer years of experience may be acceptable with a related Masters degree and appropriate scholastic experience
• 3+ exams passed towards Society of Actuaries accreditation

Preferred Qualifications

• Masters's degree in Mathematics, Statistics, Computer Science, Business Analytics, Economics, Physics, Engineering, or related discipline
• 4+ years of professional experience in data analytics, BI, data engineering or applied data science
• 4+ years of experience with SQL and Python/R
• Associate of the Society of Actuaries or Fellow of the Society of Actuaries

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$79,310.00 - $158,620.00

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: 12/28/2025

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