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Position Overview
:
The Lead Director drives strategic market support, continuous improvement, and transformation across actuarial, pricing, and benefit design functions for Individual Medicare Part D (MAPD/PDP) offerings. This director leads technical, operational, and people excellence in a highly regulated environment.
Key Responsibilities
:
Manage, develop, and inspire a team of direct reports, cultivating a culture of high performance and professional growth.
Serve as the primary relationship leader for external vendors, overseeing the development process for Aetna's Part D Bids and managing vendor performance.
Lead desk review and bid audit coordination with external vendors and CMS.
Provide strategic support through regulatory changes, controlling for selection risk.
Lead alternative benefit modeling, scenario testing, and demonstration project analyses, influencing plan design and market positioning.
Oversee comprehensive MAPD/PDP landscape reviews and synthesize competitive trends and regulatory shifts.
Coordinate with business partners to ensure accurate pricing and compliant Medicare Part D Bids.
Develop and maintain actuarial assumptions-including but not limited to risk score coding, membership, population change, and manual assumptions-ensuring technical rigor and defensibility throughout the pricing process.
Clearly communicate complex findings and process changes to executive and non-technical audiences.
Required Qualifications
Bachelor's degree along with 10+ years of actuarial experience
ASA or FSA required
Prior Medicare Part D, pharmacy or Medicare bid experience required
Demonstrated leadership and project management experience
Prior people leadership experience
Demonstrated experience in reviewing regulatory actions and adapting to uncertainty and ambiguity
Strong communication skills
Strong technical background
Preferred Qualifications
Strong collaboration skills working across various teams
Strong organizational skills
Strong analytic skills, skilled problem solver
Ability to thrive in a constantly evolving environment with competing priorities and deadlines
History of improving processes and driving efficiency
Education
Bachelor's Degree
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan
.
No-cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Position Overview
:
The Lead Director drives strategic market support, continuous improvement, and transformation across actuarial, pricing, and benefit design functions for Individual Medicare Part D (MAPD/PDP) offerings. This director leads technical, operational, and people excellence in a highly regulated environment.
Key Responsibilities
:
Manage, develop, and inspire a team of direct reports, cultivating a culture of high performance and professional growth.
Serve as the primary relationship leader for external vendors, overseeing the development process for Aetna's Part D Bids and managing vendor performance.
Lead desk review and bid audit coordination with external vendors and CMS.
Provide strategic support through regulatory changes, controlling for selection risk.
Lead alternative benefit modeling, scenario testing, and demonstration project analyses, influencing plan design and market positioning.
Oversee comprehensive MAPD/PDP landscape reviews and synthesize competitive trends and regulatory shifts.
Coordinate with business partners to ensure accurate pricing and compliant Medicare Part D Bids.
Develop and maintain actuarial assumptions-including but not limited to risk score coding, membership, population change, and manual assumptions-ensuring technical rigor and defensibility throughout the pricing process.
Clearly communicate complex findings and process changes to executive and non-technical audiences.
Required Qualifications
Bachelor's degree along with 10+ years of actuarial experience
ASA or FSA required
Prior Medicare Part D, pharmacy or Medicare bid experience required
Demonstrated leadership and project management experience
Prior people leadership experience
Demonstrated experience in reviewing regulatory actions and adapting to uncertainty and ambiguity
Strong communication skills
Strong technical background
Preferred Qualifications
Strong collaboration skills working across various teams
Strong organizational skills
Strong analytic skills, skilled problem solver
Ability to thrive in a constantly evolving environment with competing priorities and deadlines
History of improving processes and driving efficiency
Education
Bachelor's Degree
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options,
a
401(k) plan
(including matching company contributions), and an
employee stock purchase plan
.
No-cost programs for all colleagues
including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/06/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.