Lead Director, Actuarial – Medicare Part D

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🔥 0 minutes ago

🏈 Alabama, Connecticut, +3 more states – Remote

🏈 Alabama – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🦞 Maine – Remote 🔔 Pennsylvania – Remote

💵 $144.2k - $288.4k / year

⏰ Full Time

🟠 Senior

📊 Actuary

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Lead and develop a team responsible for pricing, projections, reporting, and actuarial support for large fully-insured clients and the broader portfolio • Provide strategic support for the growing unbundled population with Medicare Advantage medical coverage and standalone PDP pharmacy coverage • Partner with Underwriting, Product, Sales, Account teams, and other cross-functional stakeholders on complex business, cross-sell, and renewal cases • Provide strategic actuarial insight during rate reviews and financial reviews for large and complex cases • Translate legislative and regulatory changes into business implications for stakeholders, consultants, and employer groups • Complete and oversee studies for assumption setting, pricing model development, and other actuarial analyses • Identify issues that could materially affect financial results and develop data-driven recommendations • Solve complex business problems and deliver actionable solutions using technical skills, judgment, and critical thinking • Drive project ownership, priority management, deadline management, and cross-functional collaboration • Develop, coach, and mentor team members

🎯 Requirements

• Bachelor’s degree along with 8+ years of relevant actuarial or healthcare-related analytical experience • ASA or FSA credential required • Strong communication and relationship-management skills • Ability to translate complex actuarial and financial concepts for a range of audiences • Proven track record of driving results through cross-functional collaboration • Ability to apply analytical rigor, sound judgment, and strategic thinking to complex business challenges • Experience influencing stakeholders and contributing to discussions with senior leadership • Ability to lead projects, manage competing priorities, and deliver high-quality work within deadlines • Sponsorship is not supported at this time • Preferred: Experience with Medicare Part D, Medicare Advantage, or other government services business • Preferred: Experience evaluating legislative or regulatory changes and translating them into business implications • Preferred: People leadership experience, including coaching, developing, and mentoring team members

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being