CVS Health
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Lead Director, Actuarial - HCD
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CVS Health 1 week ago Be among the first 25 applicants Join to apply for the
Lead Director, Actuarial - HCD
role at
CVS Health Get AI-powered advice on this job and more exclusive features. At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The new Health Care Delivery Actuarial team has been created to provide actuarial analytics and insight to a growing segment of CVS Health. Actuaries play an important role on the Health Care Benefits segment and HCD Actuarial is being created to play a similar role to support the financial integrity of HCD with sound reserving, forecasting, trend analytics and analysis of regulatory changes and payer contracts that produce returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues.
Leads actuarial projects and initiatives in support of stated mission and achievement of key performance measures based on segment responsibilities. This position may manage multiple Actuarial projects and/or initiatives across and within geographic regions, markets or segments. Functionally may include market actuaries, lead product development, line of business, rating actuaries. Ability to issue an Actuarial Communication as defined in the Actuarial Standard of Practice.
Leads projects and initiatives to achieve team goals through articulation and application of business strategy, initiatives, and actuarial standards.
Manages a block of business proactively, balancing membership, revenue growth and profitability objectives; complex/ high profile projects and markets or negotiations; workflow and processes to assure timely and accurate deliverables.
Works cross-functionally with other constituents on payer analytics and segment performance. Applies rigorous financial and value analysis to manage and enhance profitability and membership.
Builds effective working relationships across segments and functions.
Develops and implements actuarial strategies for collaboration with other stakeholders by using knowledge of industry trends, economy, competition, and business objectives.
Negotiates and resolves conflicts using effective oral and written communications
Leads team/department on projects and workgroups. Identifies and may lead process improvement through automation or process change.
Leads process improvement initiatives to improve productivity, accuracy and influences tool development.
Manages high visibility and/or complex projects. Allocate resources aligned to the project appropriately.
Coaches, mentors and provides feedback to less experienced actuarial employees in development of technical skills or specific subject matter.
Required Qualifications
Bachelor's degree along with 10+ years experience
ASA or FSA required
Member of the American Academy of Actuaries.
Proven leadership skills and strong cross-functional relationships with other internal organizations
Extensive experience in communicating with outside consultants and customers is required
Travel maybe required
Preferred Qualifications
Provider systems experience preferred
Education
Bachelor's Degree
Pay Range
The Typical Pay Range For This Role Is
$144,200.00 - $288,400.00
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 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 09/26/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Sales and Business Development Industries Hospitals and Health Care Referrals increase your chances of interviewing at CVS Health by 2x Sign in to set job alerts for “Director of Insurance” roles.
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Lead Director, Actuarial - HCD
role at
CVS Health 1 week ago Be among the first 25 applicants Join to apply for the
Lead Director, Actuarial - HCD
role at
CVS Health Get AI-powered advice on this job and more exclusive features. At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The new Health Care Delivery Actuarial team has been created to provide actuarial analytics and insight to a growing segment of CVS Health. Actuaries play an important role on the Health Care Benefits segment and HCD Actuarial is being created to play a similar role to support the financial integrity of HCD with sound reserving, forecasting, trend analytics and analysis of regulatory changes and payer contracts that produce returns to shareholders commensurate with the risks undertaken. Actuarial is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues.
Leads actuarial projects and initiatives in support of stated mission and achievement of key performance measures based on segment responsibilities. This position may manage multiple Actuarial projects and/or initiatives across and within geographic regions, markets or segments. Functionally may include market actuaries, lead product development, line of business, rating actuaries. Ability to issue an Actuarial Communication as defined in the Actuarial Standard of Practice.
Leads projects and initiatives to achieve team goals through articulation and application of business strategy, initiatives, and actuarial standards.
Manages a block of business proactively, balancing membership, revenue growth and profitability objectives; complex/ high profile projects and markets or negotiations; workflow and processes to assure timely and accurate deliverables.
Works cross-functionally with other constituents on payer analytics and segment performance. Applies rigorous financial and value analysis to manage and enhance profitability and membership.
Builds effective working relationships across segments and functions.
Develops and implements actuarial strategies for collaboration with other stakeholders by using knowledge of industry trends, economy, competition, and business objectives.
Negotiates and resolves conflicts using effective oral and written communications
Leads team/department on projects and workgroups. Identifies and may lead process improvement through automation or process change.
Leads process improvement initiatives to improve productivity, accuracy and influences tool development.
Manages high visibility and/or complex projects. Allocate resources aligned to the project appropriately.
Coaches, mentors and provides feedback to less experienced actuarial employees in development of technical skills or specific subject matter.
Required Qualifications
Bachelor's degree along with 10+ years experience
ASA or FSA required
Member of the American Academy of Actuaries.
Proven leadership skills and strong cross-functional relationships with other internal organizations
Extensive experience in communicating with outside consultants and customers is required
Travel maybe required
Preferred Qualifications
Provider systems experience preferred
Education
Bachelor's Degree
Pay Range
The Typical Pay Range For This Role Is
$144,200.00 - $288,400.00
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 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 09/26/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Seniority level
Seniority level Director Employment type
Employment type Full-time Job function
Job function Sales and Business Development Industries Hospitals and Health Care Referrals increase your chances of interviewing at CVS Health by 2x Sign in to set job alerts for “Director of Insurance” roles.
Chicago, IL $106,000.00-$152,000.00 2 days ago Director, Premier Client Acquisition and Support
Chicago, IL $120,000.00-$165,200.00 1 week ago Director/Senior Director, Personal Lines
Chicago, IL $133,000.00-$155,000.00 2 months ago Chicago, IL $145,000.00-$170,000.00 3 days ago Senior Director, Insurance Institutional Sales
Chicago, IL $151,025.00-$265,525.00 2 weeks ago Chicago, IL $125,000.00-$150,000.00 2 months ago Chicago, IL $175,000.00-$215,000.00 2 weeks ago Sr Director, Insurance Institutional Sales
Chicago, IL $180,000.00-$250,000.00 1 week ago Assistant Director of Patient Accounts- IL- Clinic Finance, Multispecialty Clinic
Chicago, IL $106,000.00-$152,000.00 1 week ago Sr Director, Commission of Dental Accreditation/USDE Recognition Compliance
Director, Strategic Accounts - Single-Family
Director of Business Development-Cafeteria Replacement
Chicago, IL $100,000.00-$120,000.00 5 months ago Chicago, IL $215,000.00-$240,000.00 2 weeks ago Underwriting Director (Wholesale - Cyber/E&O/Media)
Elmhurst, IL $50,000.00-$55,000.00 2 weeks ago Itasca, IL $80,000.00-$100,000.00 2 days ago Chicago, IL $117,250.00-$185,000.00 1 week ago Property Line of Business Underwriting Director (Middle Market)(Remote or Hybrid)
Director of Broker Distribution Management (Remote - Chicago or Dallas Preferred)
Chicago, IL $145,000.00-$215,000.00 2 weeks ago Director of Nursing and Clinical Services
Chicago, IL $105,000.00-$140,000.00 3 weeks ago Director, Business Development, Insurance
Chubb Risk Consulting Director, Business Development (remote with travel)
Chicago, IL $124,900.00-$154,700.00 4 months ago Chicago, IL $120,000.00-$170,000.00 1 week ago Chicago, IL $160,000.00-$180,000.00 2 weeks ago Orland Park, IL $70,000.00-$105,000.00 2 days ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr