AVP, Underwriting - Aetna Commercial

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven 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 long-term 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 company's 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 cross-functional 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 execution 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

Bachelor's degree preferred/specialized training/relevant professional qualification.

Prior Relevant Work Experience

15+ years

Pay Range

The typical pay range for this role is:

$157,800.00 - $363,936.00

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: 04/28/2025

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