Senior Manager, Actuarial

CVS Health•Hartford, CT

About The Position

The Senior Manager, Actuarial is responsible for pricing and risk management for CVS Health’s Professional Employer Organization (PEO) segment. The role partners with internal Finance, Sales, and Underwriting teams, as well as external PEOs, consultants, and brokers, to provide risk management advice. It also serves as a data expert and liaison for the PEO actuarial team, monitors portfolio performance and financial drivers, and advises business leaders on pricing, underwriting, and risk matters. Alongside an individual customer caseload, the position manages 1–2 actuaries and/or underwriters supporting smaller customers.

Requirements

Bachelor’s degree.
At least 5 years of relevant work experience in actuarial or related fields.
Associate of the Society of Actuaries (ASA) designation.
Experience creating and delivering claim and/or performance reporting.
Strong understanding of employer-sponsored medical insurance.
Proficiency in SQL or similar languages to query and manipulate data.
Strong communication skills for internal collaboration and external customer interactions.

Nice To Haves

Knowledge of the PEO industry and its dynamics.
Knowledge of Small Group and Large Group distinctions and nuances.
Knowledge of medical underwriting.
Experience managing staff.
Fellow of the Society of Actuaries (FSA).

Responsibilities

Anticipate and recognize matters that materially affect financial results and make sound, unbiased recommendations.
Support pricing and renewal strategy for assigned PEO customers, including annual renewal analyses, rate increase recommendations, rebanding, ratebook development, and customer-specific pricing strategies.
Serve as the data expert for the PEO actuarial team and primary liaison with key internal contacts across IT and Medical Economics.
Monitor portfolio performance, emerging experience trends, medical loss ratio, membership growth, premium adequacy, profitability, and other key financial drivers to identify risks and opportunities.
Lead and conduct actuarial studies and ad hoc analyses evaluating growth, pricing effectiveness, risk selection, customer performance, and performance drivers requiring corrective action.
Advise PEO executives, consultants, brokers, account teams, underwriting leaders, finance partners, and senior CVS Health/Aetna leadership on pricing, underwriting, and risk management matters.
Manage 1–2 actuaries and/or underwriters supporting smaller customers, in addition to maintaining a personal caseload.