Manager, Actuarial - Medicare Dental

Sky Pediatric Dentistry

Woonsocket (RI)

On-site

USD 93,000 - 204,000

Full time

10 days ago

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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 an Actuarial Manager for Commercial and Medicare Dental to lead reserving, pricing and forecasting across the nation from Woonsocket, RI. The role requires collaboration with Finance, Market teams and external consultants to ensure accurate financial decisions and timely reporting.

This full-time position emphasizes ASA credentials or progress toward them, with a base pay range and bonus eligibility.

Qualifications

  • Bachelor's degree required.
  • 3+ years of healthcare actuarial experience.
  • ASA designation or progress toward credential.
  • Ability to lead pricing, reserving and forecasting processes.

Responsibilities

  • Lead Commercial Dental valuation decisions and financial reviews for all local markets.
  • Manage monthly reserving, closing, and quarterly deficiency reserves with Finance.
  • Coordinate experience reviews and network discount reviews for Medicare and Commercial.
  • Provide pricing, analysis, and strategic support for Medicare Advantage bids.
  • Serve as primary POC and SME for Dental issues with CVS Health and consultants.

Skills

Actuarial pricing
Forecasting
Cross-functional collaboration
Analytical skills
Communication skills

Education

Bachelor's degree
ASA or progress toward credential

Tools

Pricing systems

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.

Manager, Actuarial

We are looking for an Actuarial Manager for Commercial and Medicare Dental Business to provide actuarial reserving, experience review, forecasting and pricing support.

The Actuarial Manager responsibilities include:
  • Leads Commercial Dental valuation decisions and financial performance reviews that cover all local markets across the nation
  • Works independently and cross-functionally with the Finance team to complete Commercial Dental monthly reserving process, monthly financial close, and quarterly premium deficiency reserves, planning and forecasting process
  • Works independently and cross-functionally with the Market teams and Network team to complete monthly experience review, experience studies and monthly Network Discount review for the Medicare dental and Commercial business
  • Provide actuarial pricing, analysis, and strategic support for the Medicare Advantage Bid process
  • Serves as primary POC and SME for Dental related issues with a wide audience including peers within AETNA and external consulting firms.
Required Qualifications
  • Bachelor's degree along with a minimum of 3+ years of relevant healthcare experience with:
  • Strong technical, analytical, and financial skill.
  • Strong communication skills and ability to work cross functionally.
  • Associate of the Society of Actuaries (ASA), or demonstrated progress toward actuarial credentials.
Preferred Qualifications
  • Prior Commercial pricing/rating system/forecasting experience.
  • Prior Dental and Vision experience.
Education

Bachelor's degree required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$92,700.00 - $203,940.00

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.

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: 10/30/2026

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

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