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Position Summary

We are looking for Actuarial Lead Director for Medicare Dental Business to provide actuarial support and strategic leadership. The Actuarial Lead Director responsibilities include:

• Leads Medicare Dental pricing and valuation decisions that cover all states, including GE and DSNP members
• Works cross-functionally across the Dental organization, with responsibilities including pricing, experience studies, rating tools, product development analysis, network support, market support, planning, forecasting, and reporting
• Influences business partners including Market teams, Network, Finance, Operation and Product to focus efforts and achieve profitable growth.
• Key subject matter expert to address any desk review or audit inquiries from external regulators for all Aetna Individual Medicare bids
• Serves as primary POC and SME for Medicare Dental related issues with a wide audience including peers within AETNA and external consulting firms.
• This role has a Sr. Analyst as a direct report.

Required Qualifications

• Bachelor's degree along with a minimum of 10+ years of relevant healthcare experience
• Minimum of ASA required
• Dental, pricing, forecasting experience are highly desirable
• Strong leadership skills
• Strong technical, analytical, and financial skill
• Strong communication skills and ability to work cross functionally

Preferred Qualifications

• Prior Medicare pricing/rating system/forecasting experience preferred, but not required
• Prior Dental and Vision experience preferred, but not required

Education

Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,500.00

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: 09/27/2024

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