AVP, Commercial Specialty Actuarial & Underwriting
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Assistant Vice President, Commercial Specialty Actuarial & Underwriting (UW) provides senior actuarial leadership for a $6B+ portfolio including Diversified Commercial Solutions (DCS), Commercial Pharmacy, and Resources for Living products. This role has primary accountability for pricing strategy, financial performance oversight, and execution of rate review and underwriting processes. This role serves as a key actuarial leader supporting Fully Insured medical and non-medical DCS pricing, Commercial Pharmacy pricing strategy, margin management, and financial risk assessment, while partnering closely with Finance, Underwriting, Sales, and Market leadership.
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
- Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related field
Responsibilities
- Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions. Lines of business include Dental/Vision, International, Student Health, and Federal Plans.
- 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.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Manager
