Senior Manager, Actuarial
- Full Time
About the role
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 Senior Manager, Actuarial is responsible for pricing and risk management for the Professional Employer Organization (PEO) segment. The Senior Manager will collaborate with internal Finance, Sales, and Underwriting business partners as well as external PEOs, consultants, and brokers to provide sound risk management advice.
Responsibilities and Duties
- Anticipate and recognize matters that materially affect financial results and make sound, unbiased recommendations.
- Support pricing and renewal strategy for assigned PEO customers, including annual renewal analyses, rate increase recommendations, rebanding, ratebook development, and customer-specific pricing strategies.
- Serve as the data expert for the PEO actuarial team and primary liaison with key internal contacts across IT and Medical Economics.
- Monitor portfolio performance, emerging experience trends, medical loss ratio, membership growth, premium adequacy, profitability, and other key financial drivers to identify risks and opportunities.
- Lead & conduct actuarial studies and ad hoc analyses evaluating growth, pricing effectiveness, risk selection, customer performance, and performance drivers requiring corrective action.
- Serve as a trusted advisor to PEO executives, consultants, brokers, account teams, underwriting leaders, finance partners, and senior CVS Health/Aetna leadership on pricing, underwriting, and risk management matters.
- In addition to personal case load, manage staff of 1-2 actuaries and/or underwriters to support smaller customers.
Required Qualifications
Bachelor's degree required along with 5+ years relevant work experience in actuarial or related fields with:
Associate of the Society of Actuaries (ASA) designation.
-Experience in creating and delivering claim and/or performance reporting.
-Strong understanding of employer-sponsored medical insurance.
-Proficiency in SQL or similar languages to query and manipulate data.
-Strong communication skills for internal collaboration and external customer interactions.
Preferred Qualifications
Knowledge of PEO industry and dynamics.
Knowledge of Small Group and Large Group distinctions and nuances.
Knowledge of medical underwriting.
Experience managing staff.
Fellow of the Society of Actuaries (FSA).
Education
Bachelor's degree required.
Pay Range
The typical pay range for this role is:
$130,295.00 - $260,590.00
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.
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.