Lead Director; Actuarial - Middle Market AFA

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

This position will be the pricing and strategy lead for Aetna's Middle Market Aetna Funding Advantage (AFA), a level-funded product.A strong candidate will:

• Develop deep expertise in the Middle Market AFA product to educate the organization on fundamentals of the product
• Collaborate with large group rate review team to create and execute on a rate review process for markets with sizable MM AFA membership
• Ensure appropriate relationship between rates of insured and MMAFA is maintained, understood, and delivered to the market
• Take a disciplined approach to rate adequacy, with strong ownership of building and executing evolving rate review, forecasting and reporting processes
• Ideate and evaluate strategic initiatives that balance membership and margin objectives
• Work with product to ensure suite of benefits is competitive and appropriate for the marketplace, and understand how benefit changes may impact the rate alignment between level funded and fully insured
• Potential to build recommendation and structure to operationally create a fixed relationship between level funded and fully insured rates
• Collaborate and build influence with MM Center of Excellence, sales, actuarial, and underwriting business partners
• Involvement in other market-facing fully-insured initiatives as needed

Required Qualifications

• Bachelor's degree along with 10+ years of actuarial experience
• ASA or FSA
• Rating & forecasting experience
• Strong communication skills
• Experience with Microsoft Excel
• Creativity and intellectual curiosity to navigate the dynamic level-funding competitive environment

Preferred Qualifications

• Experience with any level-funded or stop loss lines of business

Education

• Bachelors degree required/relevant professional qualification

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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 05/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.