AVP, Commercial Specialty Actuarial & Underwriting

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Assistant Vice President, Commercial Specialty Actuarial & Underwriting (UW) provides senior actuarial leadership for a $6B+ portfolio including Diversified Commercial Solutions (DCS), Commercial Pharmacy, and Resources for Living products.  This role has primary accountability for pricing strategy, financial performance oversight, and execution of rate review and underwriting processes. This role serves as a key actuarial leader supporting Fully Insured medical and non-medical DCS pricing, Commercial Pharmacy pricing strategy, margin management, and financial risk assessment, while partnering closely with Finance, Underwriting, Sales, and Market leadership.

Job Responsibilities

• Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions.  Lines of business include Dental/Vision, International, Student Health, and Federal Plans.

• Establish and maintain actuarial standards, pricing frameworks, and governance processes.

• Review, approve, and recommend rate actions, pricing assumptions, and risk positions.

• Own actuarial evaluation of margin performance and profitability drivers.  Ensure pricing strategies and rate execution are aligned with target margins and durable growth goals.

• Identify emerging risks and develop mitigation strategies in partnership with Business Leads, Finance and Underwriting.

• Assess and manage the financial and pricing implications of federal and state regulatory changes impacting Commercial Pharmacy and Mental Health Parity.

• Oversee intercompany pharmacy pricing discussions and work with both Caremark and Aetna IBU teams to ensure pharmacy value is effectively deployed for Fully Insured, AFA and integrated ASC business. 

• Lead and mentor a multi-disciplinary team, fostering organizational agility and development.

Location

• Hartford, CT (preferred)

• Open to Remote

Required Qualifications

• 12+ years of progressive actuarial experience with leadership responsibility.

• Experience in Commercial health insurance pricing.

• Strong executive communication and influence skills.

• Manage large teams

• ASA or FSA

Education

Bachelor’s degree in Actuarial Science, Mathematics, Statistics, Economics, or related field

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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