Pharmacy Benefits Management (PBM) Underwriting, Senior Analyst

CVS Health; Arizona; Hybrid; USD 120,000 - 180,000; Full time

Job summary

CVS Health is seeking a pricing and underwriting professional to join our PBM Underwriting team in the United States. You will develop pricing strategies, build financial models, and present analyses to leadership to shape competitive offers across retail, mail order, and specialty contracts.

Leveraging advanced Excel modeling and cross-functional collaboration with Sales and Account Services, you will drive revenue targets, profitability, and favorable negotiation outcomes for new business

Qualifications

• 4+ years of financial analysis, pricing, or underwriting experience.
• Proficient in Microsoft Excel for complex data analysis.

Responsibilities

• Model and develop Truecost pricing proposals for Health Plan Clients.
• Collaborate with PBM Sales and Account Services to provide pricing and negotiation strategy recommendations.
• Apply advanced Excel modeling techniques to analyze large pharmacy claims data and build forward-looking financial forecasts and P&L statements.
• Present financial analyses to Executive Leadership during Underwriting Approval Calls and respond to questions in real time.
• Support Underwriting Managers with ad-hoc analyses and client implementation projects.

Skills

Financial analysis

Tools

Excel

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts.

Additional responsibilities to include but not limited to the following:

• Model and develop Truecost pricing proposals for Health Plan Clients
• Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin retention
• Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) statements
• Presenting financial analyses to Executive Leadership during Executive Underwriting Approval Calls and responding to financial questions in real-time
• Supporting Underwriting Managers and Sr. Managers with ad-hoc financial analyses and client implementation projects

Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts. You will need to execute and implement constantly evolving pricing strategies in response to market dynamics to provide competitive, profitable, and attractive pricing offers. You will have a measurable impact in this role, by helping CVS Health, and our clients win, in a competitive marketplace.

Required Qualifications

• 4 or more years’ financial analysis, pricing, or corporate underwriting experience required
• Proficient in Microsoft Excel in complex data analysis

Preferred Qualifications

• Basic knowledge of PBM finance
• Experience managing complex projects over 3-12 months in a matrix environment