Lead Director, Actuarial – Medicare Part D

CVS Health

. Lead and develop a team responsible for pricing, projections, reporting, and actuarial support for large fully-insured clients and the broader portfolio .

Posted 10/7/2026full-timeRemote • United StatesSenior💰 $144,200 - $288,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in actuarial analysis, pricing model development, and strategic support for Medicare Advantage and standalone PDP pharmacy coverage. Proven ability to lead teams, manage projects, and translate complex regulatory changes into actionable business insights.

Highest-signal resume keywords

Actuarial AnalysisMedicare AdvantagePricing Model DevelopmentCross-Functional CollaborationASA or FSA Credential

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pricing Model DevelopmentActuarial AnalysisData-Driven RecommendationsFinancial ReviewAssumption Setting

Soft Skills

Strong Communication SkillsRelationship ManagementStrategic ThinkingJudgmentCoaching and Mentoring

Certifications & Qualifications

ASA CredentialFSA Credential

Industry Keywords

Medicare Part DLegislative ChangesRegulatory ChangesHealthcare-Related Analytical ExperienceEmployer Groups

About the role

Key responsibilities & impact

Lead and develop a team responsible for pricing, projections, reporting, and actuarial support for large fully-insured clients and the broader portfolio
Provide strategic support for the growing unbundled population with Medicare Advantage medical coverage and standalone PDP pharmacy coverage
Partner with Underwriting, Product, Sales, Account teams, and other cross-functional stakeholders on complex business, cross-sell, and renewal cases
Provide strategic actuarial insight during rate reviews and financial reviews for large and complex cases
Translate legislative and regulatory changes into business implications for stakeholders, consultants, and employer groups
Complete and oversee studies for assumption setting, pricing model development, and other actuarial analyses
Identify issues that could materially affect financial results and develop data-driven recommendations
Solve complex business problems and deliver actionable solutions using technical skills, judgment, and critical thinking
Drive project ownership, priority management, deadline management, and cross-functional collaboration
Develop, coach, and mentor team members

Requirements

What you’ll need

Bachelor’s degree along with 8+ years of relevant actuarial or healthcare-related analytical experience
ASA or FSA credential required
Strong communication and relationship-management skills
Ability to translate complex actuarial and financial concepts for a range of audiences
Proven track record of driving results through cross-functional collaboration
Ability to apply analytical rigor, sound judgment, and strategic thinking to complex business challenges
Experience influencing stakeholders and contributing to discussions with senior leadership
Ability to lead projects, manage competing priorities, and deliver high-quality work within deadlines
Sponsorship is not supported at this time
Preferred: Experience with Medicare Part D, Medicare Advantage, or other government services business
Preferred: Experience evaluating legislative or regulatory changes and translating them into business implications
Preferred: People leadership experience, including coaching, developing, and mentoring team members

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being