Lead Director; Actuarial - Medicare Advantage (SNP)

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 individual in this role will serve as the subject matter expert for Aetna's Medicare Advantage Special Needs Plans (SNP) business. Includes Dual Eligible, HIDE / FIDE Integrated, and Chronic plans. The SNP population presents a huge growth opportunity for Medicare Advantage plans, and Aetna is aggressively expanding into this market. This position provides an ambitious actuary the opportunity to get into a growth story early, work closely with executive Medicare business leaders to drive strategic decisions, and shape the role in your own manner.

Responsibilities include :

• Develop a strong strategic partnership with the business leadership of the Medicare Duals segment, by collaborating on business initiatives, recognizing and anticipating matters that will materially impact financial outcomes, providing sound risk‑management advice, and communicating all of the above effectively.
• Coordinating the analytics, reporting, and pricing / bidding best practices of Aetna's SNP segment, across all Aetna geographies, Medicare Advantage market actuaries, and associated Medicaid actuaries. Establish best practices, ensure consistency, and provide guidance to the broader Individual Medicare actuarial pricing team.
• Leading and developing a team of actuaries responsible for supporting the IVL MA actuarial team, local market partners, and Medicaid partners to provide a best‑in‑class bid product, with emphasis on compliance with changing regulations and sound risk management recommendations.

Required Qualifications

Preferred Qualifications

Education

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 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 :

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 12 / 19 / 2025

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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