AVP, Commercial Specialty Actuarial & Underwriting

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🔥 0 minutes ago

🦌 Connecticut, Florida, +3 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🦞 Maine – Remote 🦀 Maryland – Remote 🔔 Pennsylvania – Remote

💵 $185.4k - $375.9k / year

⏰ Full Time

🔴 Lead

📊 Actuary

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions. • Establish and maintain actuarial standards, pricing frameworks, and governance processes. • Review, approve, and recommend rate actions, pricing assumptions, and risk positions. • Own actuarial evaluation of margin performance and profitability drivers. • Ensure pricing strategies and rate execution are aligned with target margins and durable growth goals. • Identify emerging risks and develop mitigation strategies in partnership with Business Leads, Finance and Underwriting. • Assess and manage the financial and pricing implications of federal and state regulatory changes impacting Commercial Pharmacy and Mental Health Parity. • Oversee intercompany pharmacy pricing discussions and work with both Caremark and Aetna IBU teams to ensure pharmacy value is effectively deployed for Fully Insured, AFA and integrated ASC business. • Lead and mentor a multi-disciplinary team, fostering organizational agility and development.

🎯 Requirements

• 12+ years of progressive actuarial experience with leadership responsibility • Experience in Commercial health insurance pricing. • Strong executive communication and influence skills. • Manage large teams • ASA or FSA

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility