acturhire
SalaryProPost a Job
Log in
CompaniesBlogBrowse JobsPost a JobPrivacy PolicyTerms and Conditions
© 2026 Acturhire. All rights reserved.
acturhire
SalaryProPost a Job
Log in
Back to Search

Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leadership role focused on Medicare Network strategy and performance for Aetna/CVS Health (Hartford, CT; hybrid/remote). You will lead a team to drive Medicare bid pricing, network development, and market-level provider performance analysis, partnering with business leaders and participating in state RFPs. ASA required; FSA valued.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Network actuarial strategy and target network development
  • Drive Medicare bid pricing and CMS fee-schedule analysis
  • Enable market teams with data cubes, HCIC insights, and provider performance
  • Hybrid or remote role based in Hartford, CT
  • Director-level role; ASA required and 10+ years health actuarial experience

DOMAIN EXPERTISE

  • Medicare bid pricing
  • CMS fee schedule (IPPS/OPPS/Physician) knowledge
  • Medicare network development and performance analysis
  • Broad health insurance actuarial functions experience

KEY REQUIREMENTS

  • 10+ years actuarial health insurance experience
  • ASA designation required (FSA valued)
  • Approximately 5+ years of people management experience
  • Experience with Medicare bid pricing and CMS fee schedules (IPPS/OPPS/Physician)
  • Advanced Excel modelling and ability to pull/manipulate data using SQL

TECH STACK

  • Excel
acturhire
SalaryProPost a Job
Log in

Role Summary

Loading...

HIGHLIGHTS

Senior health actuarial leadership role focused on Medicare Network strategy and performance for Aetna/CVS Health (Hartford, CT; hybrid/remote). You will lead a team to drive Medicare bid pricing, network development, and market-level provider performance analysis, partnering with business leaders and participating in state RFPs. ASA required; FSA valued.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Network actuarial strategy and target network development
  • Drive Medicare bid pricing and CMS fee-schedule analysis
  • Enable market teams with data cubes, HCIC insights, and provider performance
  • Hybrid or remote role based in Hartford, CT
  • Director-level role; ASA required and 10+ years health actuarial experience

DOMAIN EXPERTISE

  • Medicare bid pricing
  • CMS fee schedule (IPPS/OPPS/Physician) knowledge
  • Medicare network development and performance analysis
  • Broad health insurance actuarial functions experience

KEY REQUIREMENTS

  • 10+ years actuarial health insurance experience
  • ASA designation required (FSA valued)
  • Approximately 5+ years of people management experience
  • Experience with Medicare bid pricing and CMS fee schedules (IPPS/OPPS/Physician)
  • Advanced Excel modelling and ability to pull/manipulate data using SQL

TECH STACK

  • Excel
Health/Insurer/Director Level
CVS Health

Executive Director, Actuarial - Medicare Network

CVS Health•Hartford, Connecticut, United States•1d ago
FlexibleMedicare AdvantagePricing & RatingUW Support & Portfolio ManagementBusiness Intelligence & Reporting

Job Overview

Salary
$175k - $335k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with 10+ years in Medicare actuarial work, strong bid pricing and CMS fee-schedule expertise, leadership experience, and advanced Excel/SQL skills.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanAnnual BonusEquity/Stock OptionsWellness Program
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Job Overview

Salary
$175k - $335k
Years of Experience
10+ Years
Work Type
Permanent
Full Time

Ideal Candidate Profile

Director-level health actuary (ASA) with 10+ years in Medicare actuarial work, strong bid pricing and CMS fee-schedule expertise, leadership experience, and advanced Excel/SQL skills.

ASA

Benefits

Health InsuranceDental InsuranceVision Insurance401(k) PlanAnnual BonusEquity/Stock OptionsWellness Program
Fresh Role
Premium Window
1d
1 days ago

Strategy: Maximize Application Quality

Applications submitted within 72 hours are 2x more likely to land an interview.

"Recruiters are actively watching. Take time to tailor your keywords."

Similar Opportunities

CVS Health
4mo ago

Actuary - AFA

CVS Health • Atlanta, Georgia, United States

$93k - $204k
CVS Health
1mo ago

Senior Actuarial Analyst

CVS Health • Hartford, Connecticut, United States

$79k - $159k
CVS Health
6mo ago

Senior Actuary - International

CVS Health • Hartford, United States

$118k - $261k

Similar Opportunities

CVS Health
4mo ago

Actuary - AFA

CVS Health • Atlanta, Georgia, United States

$93k - $204k
CVS Health
1mo ago

Senior Actuarial Analyst

CVS Health • Hartford, Connecticut, United States

$79k - $159k
CVS Health
6mo ago

Senior Actuary - International

CVS Health • Hartford, United States

$118k - $261k