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Lead Director; Actuarial - IVL MA

CVSHealthHartford, United States2mo ago
Medicare AdvantagePricing & RatingRegulatory ReportingUW Support & Portfolio Management

Role Summary

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HIGHLIGHTS

Director-level actuarial role certifying Individual Medicare Advantage (IVL MA) bids for the Midlands, overseeing ~26 bids and ~$1.5B in revenue. You will lead a shared-services collaboration team, set best practices, certify Part C bids, and advise senior leadership on risks and portfolio strategy. Location: Hartford, CT.

JOB DESCRIPTION SUMMARY

  • Certifying Actuary for Individual Medicare Advantage (IVL MA) Midlands market
  • Oversee development and certification of ~26 MA Part C bids for 2026
  • Lead a shared-services collaboration team and set portfolio best practices
  • Accountable for market performance and communicating risks to senior leadership
  • Requires ASA or FSA and 10+ years of actuarial experience

DOMAIN EXPERTISE

  • Individual Medicare Advantage pricing
  • Medicare Advantage Part C bid certification
  • Regulatory compliance in healthcare actuarial settings
  • Managing market bid workflows and deadlines

KEY REQUIREMENTS

  • Bachelor's degree and 10+ years of actuarial experience
  • ASA or FSA designation required
  • Individual Medicare Advantage (IVL MA) background required
  • Prior management experience with staff oversight
  • Strong communication skills for regulators and senior leadership

TECH STACK

  • No tech stack specified