Lead Director, Underwriting - Stop Loss & Large Claim ...

Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll 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 u2013 helping to simplify health care one person, one family and one community at a time. Position Summary Support Aetna's ability to achieve its financial and strategic goals through This role provides strategic leadership over medical underwriting and risk assessment for highu2011cost claimants, with a focus on protecting profitability while supporting membership growth and revenue objectives. The position oversees Large Claim Support functions, including identification, evaluation, and management of highu2011risk cases across a diverse book of business. Key Responsibilities Strategic Leadership & Oversight + Lead and direct managers and multiu2011functional clinical underwriting teams responsible for complex, highu2011profile new business and renewal underwriting decisions. + Oversee core Stop Loss Center of Excellence (COE) functions, including audits, tools, underwriting strategy, training, and continuous process improvement. + Own reconciliation processes and provide oversight of the Cognizant support team to ensure accuracy, consistency, and operational efficiency. + Anticipate and proactively address issues that materially impact financial performance, applying sound, unbiased decisionu2011making. Underwriting & Risk Management + Oversee a broad book of business spanning all market segments and funding arrangements, including large claimant underwriting for Aetna Signature Administrators. + Guide teams in the evaluation and management of highu2011cost claimant risk to optimize earnings and client outcomes. + Support underwriting teams in resolving complex or escalated risk assessments. People Leadership & Talent Development + Lead multiple managers and professional teams to achieve Stop Loss COE goals through clear articulation of business strategy and underwriting best practices. + Identify staffing needs and drive talent management activities, including hiring, performance management, succession planning, training, and professional development. + Serve as a coach and mentor to managers and senior underwriters. Collaboration & Influence + Build and maintain strong crossu2011functional partnerships with Sales, Account Management, and other internal stakeholders. + Represent the organization on internal work groups and external forums, acting as a subjectu2011matter expert and thought leader. + Effectively negotiate and resolve conflicts using clear, impactful oral and written communication. Qualifications Required + Bacheloru2019s degree or equivalent work experience. + 10+ years of financial underwriting experience, including deep expertise in highu2011cost claimant risk. + 10+ years of Stop Loss and/or medical underwriting experience. + Demonstrated experience leading managers, individual contributors, and larger teams. + Proven leadership capability with strong crossu2011functional partnership skills. Preferred + Advanced knowledge of highu2011cost claimant management and Stop Loss product strategy. + Broad understanding of other benefit programs (medical, dental, vision, pharmacy, Medicare, voluntary benefits) and their impact on risk assessment. Education + Bacheloru2019s degree required or equivalent experience. + Degree in Mathematics, Economics, Accounting, or a related field strongly preferred. Pay Range The typical pay range for this role is: $100,000.00 - $231,540.00 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 companyu2019s 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. This fullu2011time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellu2011being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments (. We anticipate the application window for this opening will close on: 06/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.

Created: 2026-04-24