Lead Director, Actuarial - HCD (Chicago)

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At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nations 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 companys 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

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

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