Executive Director, Actuarial

Executive Director, Actuarial page is loaded## Executive Director, Actuarial locations:
IL - Chicago:
TX - Richardson time type:
Full time posted on:
Posted 2 Days Agotime left to apply:
End Date:
February 27, 2026 (30+ days left to apply) job requisition :
R0047720

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** Job Summary**### The Executive Director, Medicare Part D Actuarial will lead the actuarial function for Medicare Part D products, including Individual MAPD and PDP, with end-to-end accountability for product strategy, pricing, and financial performance.
The Executive Director provides actuarial leadership across product strategy, benefit design, formulary and pharmacy network strategies, and is responsible for Medicare Part D bid development and submission, quarterly forecasting, monthly close support, and bid audits.
This position reports to the DSVP, Pharmacy Finance and Actuarial and serves as a key strategic partner to senior leaders across Pharmacy, Product, Finance, Compliance, and Operations. The role also acts as the primary actuarial point of contact for external vendors and consultants.###
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* Key Responsibilities:

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* *** Medicare Part D Product & Pricing Leadership**
* • Lead actuarial strategy for Individual MAPD and PDP products, ensuring financial sustainability, regulatory compliance, and competitive market positioning.  
• Provide actuarial leadership on product strategy and component strategies, including benefits, formulary, rebate, network, and mail, balancing affordability, growth, and margin objectives.  
• Partner cross-functionally with Pharmacy, Product, Finance, Compliance, and Operations to align actuarial assumptions with enterprise strategy.

*** Bid Development & Financial Management**
* • Oversee end-to-end Medicare Part D bid development and submission, including pricing, assumptions, documentation, and internal governance approvals.  
• Lead quarterly forecast updates and support monthly close activities, ensuring accuracy, transparency, and alignment between actuarial projections and financial results.  
• Provide actuarial support for annual PBM market checks and negotiations.  
• Identify key financial risks and opportunities, proactively communicating insights and recommendations to executive leadership.

*** Market Intelligence & Strategic Insights**
* • Lead Medicare Part D market intelligence, including competitor analysis, CMS policy changes, regulatory guidance, and industry trends.  
• Translate market insights into actionable recommendations for product design, pricing strategy, and long-term Medicare positioning.  Audit, Governance & Compliance  
• Serve as actuarial lead for CMS bid audits, internal audits, and financial audits, ensuring defensibility of assumptions, data integrity, and timely responses.  
• Establish and maintain strong actuarial governance, controls, and documentation standards to support regulatory and audit requirements.

*** Vendor & External Partner Management**
* • Act as the primary actuarial point of contact for external actuarial vendors and consultants.  
• Oversee vendor scope, deliverables, timelines, and quality, ensuring alignment with business objectives and regulatory expectations.  
• Leverage external partnerships to enhance modeling sophistication, analytics, and strategic decision-making.

*** Leadership & Talent Development**
* • Lead, mentor, and develop a high-performing actuarial team supporting Medicare Part

D.  
• Foster a culture of accountability, collaboration, and continuous improvement, with a focus on developing future actuarial leaders.  
• Set clear priorities, performance expectations, and development plans aligned with organizational goals.
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* JOB REQUIREMENTS:

** Bachelor’s degree in business, Finance, Actuarial Science, Mathematics, Economics, Computer Science or Management Information Systems.
10 years of data, transactional application-based knowledge or…