AVP, Commercial Specialty Actuarial & Underwriting

CVS Health

Senior Actuarial Leader managing a $6B+ portfolio, overseeing pricing and underwriting processes. Driving financial performance and collaborating with cross-functional teams at CVS Health.

Posted 6/9/2026full-timeRemote • Connecticut, Florida, Maine, Maryland, Pennsylvania • 🇺🇸 United StatesLead💰 $185,400 - $375,950 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

actuarial leadershippricing frameworksrate reviewsunderwritingmargin performance evaluationprofitability analysisrisk assessmentpricing strategy developmentfinancial implications assessmentregulatory compliance

Soft Skills

executive communicationinfluence skillsteam managementorganizational agilitymentoring

Certifications & Qualifications

ASAFSA

Industry Keywords

Commercial health insurancepharmacy pricingMental Health Parityfederal regulationsstate regulationsFully InsuredAFAintegrated ASC business

About the role

Key responsibilities & impact

Provide actuarial leadership and oversight for DCS pricing activities, including rate reviews, underwriting, and annual pricing submissions.
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.

Requirements

What you’ll need

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

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility