Lead Actuarial Director Position Available In Providence, Rhode Island

Between $146k and
$227k
Per Year
Position range in Rhode Island $73k – $143k Per Year Lead Actuarial Director

AETNA RESOURCES LLC

Occupation:

Actuaries

Location:

Woonsocket, RI – 02895
Positions available: 10
Job #: 1566576

Source:

EmployRI

Posted:

6/25/2025

Updated:

6/25/2025

Expires:

7/25/2025

Web Site:

EmployRI
Onsite /

Remote:

Work at home all of the time

Job Type:

Regular, Full Time (30 Hours or More), Permanent Employment, Day Shift Shift

Agency Job ID:

R0616036

Job Requirements and Properties Help for Job Requirements and Properties. . Job Requirements and Properties Help for Job Requirements and Properties. .
Telework & Remote
Full Time Education
Bachelor’s Degree Experience
60 Month(s) Schedule
Full Time Job Type
Regular Duration
Permanent Employment Hours
40 Hours Per Week
Job Description Help for Job Description. . Job Description Help for Job Description. . Aetna Resources LLC, a CVS Health company, is hiring for the following role in

Woonsocket, RI:

Lead Actuarial Director to Analyze statistical data for medical plan rates to develop pricing and use probability to forecast risk and liability for payment of future benefits.

Duties include:

responsible for annual commercial fully insured large group pricing review, including setting the manual rate and trend and expense factor analysis for assigned geographies and commercial business areas; develop pricing strategies to drive profitable growth in conjunction with experience analysis reviews for small group, individual plan, and large group pricing discussions; support local and joint venture markets in the area of pricing, reserving, budgeting, forecasting, and renewal for the fully insured commercial and small group AFA businesses; partner with cross-functional teams including Sales, Underwriting, Product, Network and Finance to develop strategic initiatives and pricing strategy that drives profitable membership growth; conduct annual competitive pricing analysis and understand the competitive landscape; prepare and analyze intermediate level data for use in actuarial experience studies, valuation or pricing projects; drive the maintenance of pricing and underwriting tools and provide support for helping others understand underwriting case-specific issues by answering technical questions; conduct actuarial research and analysis for special projects and business areas both in and out of finance; develop reserve factors to assist in evaluating, reviewing, and estimating unpaid claims; coordinate, scope, and maintain a continuously optimized valuation system; contribute to product development and re-pricing initiatives; leverage expertise regarding current pricing models and risk management practices; prepare routine reports and communicate research results to management; continually assess established training and work processes to identify areas for effectiveness and efficiency improvements, and contribute to operating effectiveness through information sharing, suggested process improvements, and effective implementation of change; communicate trends, identify issues, and proactively recommend resolutions to upper management and key stakeholders; and drive the broad-scale preparation of financial reporting as needed. Telecommuting available. Multiple positions. Bachelor’s degree (or foreign equivalent) in Actuarial Science, Statistics, Mathematics, or a related field and five (5) years of progressive, post-baccalaureate experience in the job offered or related occupation. Requires five (5) years of experience in each of the following: Actuarial principles and methodology for commercial medical insurance including pricing, underwriting, and reserve setting; Statistical analysis of medical healthcare trends; Communicating complex actuarial and mathematical concepts to actuarial and non-actuarial audiences; Financial planning including budgeting, forecasting cycles, and assessing the impact of actuarial pricing decisions; Developing strategic pricing decisions to meet business objectives; Providing strategic consulting expertise in group employee benefits design, benefits integration, vendor selection, and implementation; Conducting life, accident, disability, and medical plan redesign pricing and implementation; Leading complex benefits benchmarking and financial modeling of group benefits plans; and Benefits compliance with healthcare regulations and local legislation.

Apply at http:

//jobs.cvshealth.

com OR by email:

istappintake@cvshealth.com. Must reference job title, location, and Req ID when applying.

Requisition ID:

 

R0616036

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