Description

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 VP, Commercial Large Group & Product Actuary will lead the Actuarial team to drive the profitable growth of approximately $8B in revenue, $1B in earnings across 11M members with sound risk management, pricing, sales support, and reserving practices. This team is responsible for anticipating and recognizing matters that materially affect financial integrity and making sound, unbiased reports on these issues.

Major Responsibilities

• Lead actuarial teams supporting National Accounts and Public & Labor segments, partnering with Sales, Account Management, Product, Finance, Underwriting and segment leaders to drive profitable growth for Aetna's largest commercial clients
• Lead Commercial Product Actuarial team, collaborating with Product, Clinical, Finance, Underwriting and Analytics teams to develop and price benefit offerings that meet the needs of plan sponsors across all commercial segments, enhance Aetna's value proposition and deliver profitable growth
• In collaboration with Underwriting, Finance, Product and field and segment leaders, design market-competitive pricing and product strategies for all large employer self-funded businesses that meet Aetna's long-term objectives
• Oversee Service Pricing team, establishing pricing strategies for appropriate expense recovery across all commercial products and services with consideration for long-term cost outlook and associated risks and opportunities
• Manage team responsible for preparation and submission of discount and total cost of care data to consulting firms, partnering with Network and Commercial leadership to establish expectations and assess outcomes and owning relationships with actuarial leaders across numerous consulting firms to advocate for methodologies that produce appropriate market positioning for Aetna
• Develop performance guarantees and other risk-based arrangements for self-funded plan sponsors, continually innovating with Sales, Account Management, Underwriting, Analytics and other leaders to bring competitive programs to market that provide an appropriate risk-reward balance for Aetna
• Collaborate extensively with Underwriting, Finance, Commercial and executive leaders on numerous new and renewal jumbo case bids, providing expertise and guidance around financial risks and bid strategies
• Build and cultivate external relationships with numerous large plan sponsors and benefit consultants, advising on economic and cost outlook, Aetna's value proposition, risk considerations and other industry insights
• Partner with Finance, Analytics, Operations, Underwriting and Product to develop long-term revenue strategies across commercial self-funded businesses

Required Qualifications

• 15+ years of relevant Actuarial and/or Underwriting experience.
• Commercial business knowledge.
• Strong people leadership experience.
• Innovative thinker.
• Proven leadership skills and strong cross-functional relationships with sales and other internal organizations.
• Experience in anticipating customer needs and requirements as well as facilitating and negotiating using tact and diplomacy.
• Demonstrated success in communicating effectively with internal and external constituents.
• Proven ability to negotiate internal and external cross-functional business issues
• Align with the Heart at Work Behaviors of CVS Health - Put people first; Join forces; Inspire Trust; Rise to the Challenge; Create Simplicity
• Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.

Education

• Bachelor's degree required
• Member of American Academy of Actuaries (MAAA) required
• FSA preferred

The typical pay range for this role is:

Minimum: $240,000.00

Maximum: $340,000.00

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits.

We anticipate the application window for this opening will close on: 09/19/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.