Actuarial Director - NY/NJ Commercial

CVS Health•Hartford, CT

1d•$144,200 - $288,400

About The Position

CVS Health is seeking an actuarial leader to oversee the large group Fully-Insured commercial market in New York and New Jersey. The role serves as the subject matter expert for rate review pricing, forecasting, ad hoc analysis, rate filings, and regulatory support. It also provides actuarial support to Northeast markets and serves as a strategic partner in the large group rate review process. The position works with business partners and internal resources to monitor results, analyze their drivers, shape pricing strategies, and balance margin and membership goals. It assesses the pricing impact of regulations and taxes, communicates findings to stakeholders, and represents the actuarial function in interactions with the New York Department of Financial Services. The role also manages and develops a team of actuaries and works to improve the analysis and efficiency of the rate review process.

Requirements

Bachelor’s degree and at least 8 years of experience.
ASA designation required.
Member of the American Academy of Actuaries.
Demonstrated success communicating effectively with internal and external constituents.
Ability to negotiate internal and external cross-functional business issues.
Experience leading managers, individual contributors, and larger teams.
Proven leadership skills and strong cross-functional relationships with the sales force and other internal organizations.
Experience anticipating customer needs and requirements and facilitating and negotiating with tact and diplomacy.

Nice To Haves

Actuarial experience, particularly in the commercial insurance market.
Strong analytical and problem-solving skills.
Excellent verbal and written communication abilities.
Leadership experience managing and developing teams.

Responsibilities

Oversee the New York and New Jersey large group Fully-Insured commercial segments, including recommending model updates, setting assumptions, and presenting findings to stakeholders.
Monitor emerging results, understand underlying drivers, coordinate solutions, and reflect those solutions in pricing.
Assess the impact of regulations and emerging taxes on pricing, including the No Surprises Act.
Collaborate with business partners to balance margin and membership goals and achieve optimal outcomes.
Use Aetna's internal resources to monitor emerging results and reshape pricing strategies.
Communicate complex ideas to diverse audiences and prepare presentations for stakeholders.
Provide actuarial support to Northeast markets, facilitate the large group rate review process, and act as a strategic partner.
Serve as the actuarial subject matter expert in interactions with the New York Department of Financial Services and enhance the rate filing process.
Manage and develop a team of actuaries, including hiring, training, setting performance goals, and fostering a collaborative work environment.
Prioritize and manage competing tasks and projects.
Use technical expertise to improve the rate review process, analysis, and efficiency.
Pursue continuous learning and professional development, including participation in actuarial organizations.