Executive Director, Actuary - Medicare Part D

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Provides strategic leadership and actuarial oversight for Aetna’s Individual Medicare Part D business by coordinating bid development and submission processes, providing guidance on business and product strategies, and collaborating with stakeholders to align financial goals with business objectives. Ensures Medicare Part D bids are actuarially sound, drives process development and improvements, and contributes to strategic planning and risk assessment.

Key Responsibilities:

• Oversees the bid development aspects of Medicare Part D programs, including population change, product design strategy, legislative and regulatory changes, and financial reporting.
• Ensures compliance with bid submission requirements, legislative requirements, and other financial regulations.
• Leads department in performing actuarial evaluations specific to Medicare Part D programs by analyzing various scenarios and assessing the financial implications of changes in enrollment, trends, program and/or new product ideas and expansions.
• Leads actuarial analysis of Medicare Part D market trends and competitor strategies and landscape; oversee projections of the National Average Bid and Base Beneficiary Premium to guide pricing and premium projections.
• Advises management on potential business and financial risks, such as changes in reimbursement policies or regulatory requirements, and develops strategies to mitigate these risks.
• Cultivate and sustain strategic partnerships across cross-functional teams to ensure program alignment, drive collaboration, and achieve targeted outcomes.
• Develops training and development programs to enhance the skills and capabilities of the team by identifying talent needs, creating job descriptions, and interviewing and onboarding new team members.

Required Qualifications

• Minimum 10 years total business experience
• ASA or FSA
• Adept at collaboration and teamwork; ability to frame communications to target audience

Preferred Qualifications

• Adept at execution and delivery skills
• Adept at business intelligence
• Mastery of problem solving and decision making skills

Education

• ASA or FSA
• Bachelor’s Degree

Pay Range

The typical pay range for this role is:

$175,100.00 - $334,750.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 10/23/2025

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