Lead Director, Actuarial-Cred

9025 CVS Shared Services Resources LLC; Oklahoma; On-site; USD 144,000 - 288,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Director to lead actuarial support for Medicaid forecast modeling and trend analysis. You will oversee forecasting activities, manage high-visibility projects, and drive improvements in budget storytelling for the Medicaid line of business.

The role emphasizes leadership of actuarial teams, collaboration across functions, and delivering accurate projections to guide strategic decisions. Strong technical skills with SAS/SQL/Python are essential.

Qualifications

• Bachelor’s degree and 10+ years of relevant actuarial experience.
• ASA or FSA designation.
• Strong communication and collaboration skills.
• Strong technical skills: SAS, SQL, Python.
• Proven track record leading cross-functional teams.

Responsibilities

• Lead budget and forecast storytelling for the Medicaid business.
• Oversee forecast model development and improvement; support plan actuaries.
• Drive forecast-related analysis and development of key assumptions.
• Review budget and forecast to ensure sound actuarial projections.
• Identify opportunities for automation and process simplification; ensure timely deliverables.

Skills

Communication & Collaboration

Leadership

Forecasting/Actuarial Modeling

Education

Bachelor's degree

ASA or FSA designation

Tools

SAS

SQL

Python

Job description

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

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 and 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

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.

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/19/2026

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

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.