AVP Underwriting - Aetna Commercial
AVP Underwriting - Aetna Commercial
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$ 157800 - 363936
1 Vacancy
Job Description
At CVS Health were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nations leading health solutions company we reach millions of Americans through our local presence digital channels and more than 300000 purposedriven colleagues caring for people where when and how they choose in a way that is uniquely more connected more convenient and more compassionate. And we do it all with heart each and every day.
Position Summary
Leads and oversees the West and Central regions setting strategic underwriting objectives and driving effective underwriting processes. Additionally this role will support the Rating Environment team HBS Underwriting team and Project Management teams. Collaborates with senior leadership to develop underwriting guidelines risk management strategies and pricing policies. Analyzes underwriting performance metrics implements process improvements and provides guidance on complex underwriting cases. Participates in training and mentoring underwriters resolving escalated issues and representing the organization in underwriting decisions with external stakeholders.
Primary Job Duties & Responsibilities
- Develops and executes the longterm underwriting strategy for the organization aligned with business objectives risk appetite and regulatory requirements.
- Defines underwriting goals priorities and initiatives to support profitable growth and risk management.
- Leads the development of underwriting guidelines and policies that align with regulatory requirements industry best practices and the companys risk parameters.
- Analyzes factors such as claims data medical history demographics and utilization patterns to determine risk and progress profiles and pricing strategies.
- Directs processes to utilize data analytics tools and techniques to extract insights and provide recommendations for optimizing underwriting processes and outcomes.
- Collaborates with internal stakeholders including senior leadership finance teams product development and claims departments to ensure alignment and effective crossfunctional collaboration.
- Advises management on current industry regulations compliance standards and changes in healthcare laws that may impact underwriting practices.
- Establishes a clear definition of roles responsibilities and performance expectations for each team member documenting progress into the company database for records integrity.
- Develops and mentors team members to enhance their skills and career growth by providing leadership guidance and support to the team.
Essential Qualifications
- Adept at and delivery (planning delivering and supporting) skills
- Adept at business intelligence
- Adept at collaboration and teamwork
- Mastery of problem solving and decision making skills
- Mastery of growth mindset (agility and developing yourself and others) skills
- MBA CPA FSA HIAA CEBS or LOMA designation preferred.
Education
Bachelors degree preferred/specialized training/relevant professional qualification.
Prior Relevant Work Experience
15 years
Pay Range
The typical pay range for this role is:
$157800.00 $363936.00
This pay range represents the base hourly rate or base annual fulltime 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 shortterm incentive program in addition to the base pay range listed above. This position also includes an award target in the companys 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.
Nocost 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 anticipate the application window for this opening will close on: 04/28/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws.
Required Experience:
Exec
Employment Type
Full-Time
