Executive Director, Actuarial - Commercial Large Group

CVS Health•Hartford, CT

3d•$175,100 - $334,750

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 This position will be a member of the Commercial Regions Actuarial leadership team, responsible for driving actuarial alignment behind our most important strategic initiatives such as 101-200 resegmentation. This role also supports the Large Group Center of Excellence, and ensures actuarial resources are aligned with strategic initiatives to achieve profitability and membership goals.

Requirements

10+ years of progressive actuarial experience within health insurance, healthcare consulting, or managed care organizations.
Fellowship (FSA) strongly preferred (ASA required)
Member of the American Academy of Actuaries (preferred)
Demonstrated leadership experience managing actuarial teams and leading enterprise-wide initiatives.
Deep expertise in commercial pricing, underwriting, forecasting, rate filing, and financial performance management.
Experience partnering with senior executives to influence strategy and business outcomes.
Proven success leading through organizational change and large-scale business transformations.

Responsibilities

Ensure thorough understanding of underwriting tools and business processes involved in bringing rates to market
Identify and address areas of financial slippage
Remediate real and perceived disjoints in Aetna product offerings across funding spectrum within Large Group segments
Successful transition of 101-200 business from Large Group to Small & Midsize Business segment. Identifies and remediates issues in underwriting and system conversion processes.
Re-imagine and improve actuarial processes to integrate Large Group / SMB rate reviews, UW processes, and financial reporting.
Ensure holistic management processes across Fully Insured and AFA funding types.
Provide executive actuarial oversight for fully-insured Public & Labor business, including pricing, forecasting, and technical case review controls for large new & renewal opportunities.
Cross-Functional Collaboration to solve problems and deliver for stakeholders.
Lead and Develop a high-performing actuarial team.