Manager, Pharmacy Underwriter

BMO Harris Bank; Cheyenne (WY); Remote; USD 54,000 - 160,000; Full time

Job summary

CVS Health seeks a Manager of Underwriting, Pharmacy to support competitive and profitable pricing in pharmaceutical services. Responsibilities include mentoring staff, enhancing customer service, and leading financial analyses for proposals. The role demands 3-5 years of underwriting experience and offers a salary range reflective of managerial responsibilities in healthcare.

Benefits

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Tuition assistance

Flexible work schedules

Qualifications

• 3-5 years of Pharmacy underwriting experience required.
• Candidates must have both underwriting and pharmacy experience.

Responsibilities

• Support new business and renewal case specific ASC Pharmacy Pricing.
• Lead process improvement initiatives and ensures quality financial products.
• Mentor and train underwriting staff.

Skills

Negotiation

Risk Assessment/Analysis

Communication

Adaptability

Education

Bachelor's degree or equivalent experience

Job description

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.

Due to growth, CVS is looking to add Manager of Underwriting , Pharmacy . In this role, you would be responsible for supporting both new business and renewal case specific ASC (self-insured) Pharmacy Pricing, as well as developing financial offers that are both competitive and profitable. In this role, you would provide support with financial responses for Request For Proposal questionnaires.

The ideal candidate is able to anticipate customer needs and requirements as well as to facilitate and negotiate using tact and diplomacy.

They will be involved in training, projects, and mentoring others. Works primarily on complex or high visibility cases, markets or underwriting methods.

Additional Responsibilities are:

• Identifies training issues and recommends a course of action.
• Leads process improvement initiatives to improve productivity, accuracy and/or customer service and influences tool development
• Provides superior customer service
• Mentors and trains underwriting staff and internal and external constituents
• Ensures team members have the information to do their jobs
• Understands, applies and explains company services, product standards, underwriting policies, strategic direction and new initiatives relative to unit's responsibilities
• Grants underwriting exceptions and financial variances within prescribed limit
• Manages and/or participates on assigned projects and ensures project plans and/or work tasks are in alignment with overall goals
• Participate in broker/customer meetings
• Utilizes knowledge of competition and competitive position to evaluate risk and maximize profitability
• Negotiates and explains rate development and application of underwriting policy
• Analyzes problems or issues from different points of view to find the optimal solution
• Evaluates and manages complex and/or high visibility cases, identifies risks and recommends appropriate measures to manage risks while growing or retaining membership
• Assists team in meeting deadlines
• Delivers quality financial products for new and renewal business
• Builds strong cross-functional relationships with sales force and other internal organizations

Required Qualifications

3- 5 years of Pharmacy underwriting experience required for this role

Preferred Qualifications

• Extensive knowledge of the Aetna systems supporting ASC Pharmacy pricing methodology.
• Risk Assessment/Analysis, Communication, Negotiation, Adaptability,

Education

Bachelor's degree or equivalent experience

This is a remote/hybrid role and not available for sponsorship at this time.

Candidates must have both underwriting and pharmacy experience

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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.

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: 07/28/2025

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