AVP, Commercial Specialty Actuarial & Underwriting
Job Description:
- 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:
- 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:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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