Lead Director, Actuarial-Cred

CVS Health; United States; Remote; USD 144,000 - 288,000; Full time

Benefits offered by this job

Bonus / Commission program

Equity award program

Comprehensive benefits package

Job summary

CVS Health is seeking a Director of Actuarial Forecasting for Medicaid to lead financial forecast modeling and trend analysis. The role emphasizes oversight of forecasting activities, strategic budgeting, and high-quality deliverables across a patient-focused Medicaid portfolio.

The ideal candidate will drive results through cross-functional collaboration, bring ASA or FSA credentials, and possess 10+ years of actuarial experience with strong SQL, Python, and Power BI skills.

Qualifications

• Bachelor’s Degree and 10+ years of experience.
• ASA or FSA designation.
• Strong technical skills: SQL, Python, Power BI.
• Proven track record of driving results with multi-functional teams.

Responsibilities

• Lead budget and forecast storytelling for the Medicaid business.
• Oversee forecast model development and improvement; support plan actuaries.
• Drive forecast analyses including key assumptions, experience, and trend drivers.
• Review budgets and forecasts to ensure sound actuarial projections.
• Identify and implement process improvements through automation and simplification.
• Manage high-visibility, complex projects and allocate resources.
• Support trend storytelling and prospective trend development for Medicaid.
• Track and normalize trends Across a diverse Medicaid footprint.
• Coach and mentor team members in technical skills and subject matter expertise.

Skills

SQL

Python

Power BI

Education

Bachelor’s Degree

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 & 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 working experience
• Must be an ASA or FSA
• Strong Technical Skills Required (SQL, Python, and Power BI)
• Proven track record of driving for results with multi-functional teams

Preferred Qualifications:

• Prior Commercial, Medicare or Medicaid experience

This remote role does not support sponsorship

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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 Benefits Moments.

We anticipate the application window for this opening will close on: 11/16/2026

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