Executive Director, Middle Market Actuarial

Job DescriptionThe Executive Director, Actuarial serves as the lead pricing actuary for Commercial Middle Market (51 - 5,000 employees) business segments, comprising over 800,000 fully insured members.Responsibilities include:- Ownership of the large group rate review process, which establishes pricing strategies to achieve volume and profitability objectives across 51-100, Select, Key and Public & Labor business.- Leading a team responsible for actuarial forecasting for Select and Key Accounts and all large group rate filings.- Extensive partnership and leadership across Actuarial, Finance, Underwriting, Segment Centers of Excellence, Commercial Markets, and other business leaders around the organization to drive pricing and financial strategies.- Monitoring financial performance, underwriting execution, volume and other key indicators across Middle Market segments; developing and implementing appropriate strategies in response to emerging performance.- Managing a multi-layered team of 20+ actuarial professionals.- Developing and delivering sound, concise and effective verbal and written communications and presentations to various audiences, including peers, staff, business partners and senior leaders across many functional areas.- Influencing and empowering resources within and outside of direct control to complete projects.Required Qualifications- 10+ years of relevant actuarial health care experience, with particular emphasis in commercial health care pricing, rate filings and forecasting.- Demonstrated success in managing complex projects and processes involving business partners across the organization.- Experience managing teams of at least 10 employees.- Associate of the Society of Actuaries- Member of the American Academy of ActuariesCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Fellow of the Society of Actuaries- Strong knowledge of commercial medical underwriting practices and processes.Education- Bachelor's degree in mathematics, actuarial science or a related fieldBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15