Actuarial Director - NY/NJ Commercial

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

We are seeking a highly skilled Actuarial Lead Director to oversee the large group Fully-Insured commercial market in New York and New Jersey. In this role, you will serve as the Subject Matter Expert (SME) for rate review pricing, forecasting, ad hoc analysis, rate filings, and regulatory support.

Key Responsibilities:

• Lead the oversight of the New York and New Jersey large group Fully-Insured commercial segments, including recommending model updates, setting model assumptions, and presenting findings to stakeholders. Monitor emerging results, understand underlying drivers, and work across team to implement solutions and reflect in our pricing.
• Assess impact of regulations and emergent taxes on pricing (e.g. No Surprises Act)
• Collaborate with business partners to achieve optimal outcomes while balancing margin and membership goals.
• Leverage Aetna's internal resources to proactively monitor emerging results and reshape pricing strategies.
• Communicate complex ideas clearly and effectively to diverse audiences, including crafting presentations for various stakeholders.
• Provide actuarial support to Northeast markets, facilitating the large group rate review process and acting as a strategic partner.
• Serve as the Actuarial SME in interactions with the New York Department of Financial Services, enhancing the rate filing process.
• Manage and develop a team of actuaries, including hiring, training, setting performance goals, and fostering a collaborative work environment.
• Effectively prioritize and manage competing tasks and projects.
• Utilize a strong technical background to enhance the rate review process for improved analysis and efficiency.
• Commit to continuous learning and professional development, actively participating in actuarial organizations.

Required Qualifications

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

Preferred Qualifications

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

Education
Bachelor's degree or higher

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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