An exterior rearview mirror assembly configured for mounting at an exterior portion of a vehicle includes a mounting arm configured for attachment at the vehicle, a mirror head disposed at an end of the mounting arm and movable relative to the mounting arm, and an electrically operated actuator operable to move the mirror head relative to the mounting arm. The mirror head includes a mirror reflective element that, when the actuator is electrically operated, moves in tandem with the mirror head. The actuator, with the mounting arm attached at the exterior portion of the vehicle, and when the actuator is electrically operated, moves the mirror head relative to the mounting arm to vertically and horizontally adjust a rearward field of view of a driver of the vehicle who is viewing the mirror reflective element.