Lead Director, Actuarial-Cred

CVS Health • Hartford, CT

7d • $144,200 - $288,400 • Remote

About The Position

Lead actuarial support for the financial forecast modeling of CVS Health and Aetna’s Medicaid business, helping maintain financial integrity through sound forecasting practices and reasonable actuarial projections. The role primarily oversees forecasting activities and secondarily supports trend analysis and development, including trend normalization and projection.

The position leads budget and forecast storytelling, oversees forecast model development and improvement, develops and evaluates assumptions and financial experience, and reviews projections from a business perspective. It also supports prospective Medicaid trend development, analyzes trend drivers and program changes, and provides medical expense review support. The director manages complex, high-visibility projects, aligns resources, improves processes, and coaches and mentors employees.

This is a remote, full-time role. It does not support sponsorship. The listed base pay range is $144,200 to $288,400, with eligibility for a CVS Health bonus, commission, or short-term incentive program and an equity award target. The position includes a comprehensive benefits package, subject to eligibility.

Requirements

• Bachelor’s degree.
• 10 or more years of work experience.
• Must be an ASA or FSA.
• Strong technical skills in SQL, Python, and Power BI.
• Proven track record of driving results with multifunctional teams.

Nice To Haves

• Prior Commercial, Medicare, or Medicaid experience.

Responsibilities

• Lead budget and forecast storytelling for the Medicaid business.
• Oversee forecast model development and improvement, and support plan actuaries in understanding forecast projections.
• Drive forecast-related analysis, including developing key assumptions and evaluating financial experience and trend drivers.
• Review budgets and forecasts from a business perspective and ensure sound actuarial projections.
• Identify and support process improvements through automation and simplification, ensuring timely and accurate deliverables.
• Manage high-visibility and complex projects; allocate and align resources.
• Support trend storytelling and prospective trend development for the Medicaid business.
• Track and normalize trends across a diverse Medicaid footprint.
• Analyze trend drivers to support managed care savings development and rate advocacy.
• Provide medical expense review support.
• Analyze program changes based on state-directed and internal benefit design changes.
• Use critical thinking to solve complex business problems and lead team members in doing the same.
• Coach, mentor, and provide feedback to employees developing technical skills or subject matter expertise.

Benefits

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources to support physical, emotional, and financial well-being, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program
• Equity award target

What This Job Offers

• Job Type: Full-time
• Career Level: Director