Join a high-performing actuarial team supporting CVS Health and Aetna's exciting and growing Medicaid business. Support CVS Health's financial integrity by leading actuarial forecasting with sound practices to meet the business needs and ensure reasonable actuarial projections.
A Brief Overview
The primary focus of this director role will be leading actuarial support for the financial forecast modeling of the Medicaid line of business with a secondary focus on trend analysis & development. This role will primarily provide oversight and leadership of activities related to forecasting with a secondary focus on trend normalization and projection.
Fundamental Components
Primary Role (70% time):
- Lead budget and forecast storytelling for the Medicaid business.
- Oversee forecast model development and improvement, and support plan actuaries in understanding forecast projections.
- Drive forecast related analysis including development of key assumptions, evaluation of financial experience and trend drivers.
- Review budget and forecast from a business perspective and ensure sound actuarial projections.
- Identify and support process improvement through automation and process simplification; assure timely and accurate deliverables.
- Manage high visibility and complex projects. Allocate and align resources.
Secondary Functions (30% time):
- Support trend storytelling and prospective trend development for the Medicaid business.
- Track and normalize trends across a very diverse Medicaid footprint.
- Drill into drivers of trend to support managed care savings development and rate advocacy.
- Provide medical expense review support.
- Analyze program changes based on State-directed and internal benefit design changes.
- Use strong critical thinking skills to creatively solve complex business problems and lead team members to do the same.
- Coach, mentor and provide feedback to employees in development of technical skills or subject matter expertise.
Required Qualifications:
- Bachelor’s Degree along with 10+ years relevant experience
- Must be an ASA or FSA
- Strong Communication & Collaboration Skills
- Strong Technical Skills Required (SAS, SQL, Python)
- Proven track record of driving for results with multi-functional teams
Preferred Qualifications:
- Prior Commercial, Medicare or Medicaid experience
Pay Range
The typical pay range for this role is:
$144,200.00 - $288,400.00
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.
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.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on .
We anticipate the application window for this opening will close on: 10/19/2026
