Senior PBM Pricing & Underwriting Analyst

CVS Health; Milton (MA); Vor Ort; USD 47.000 - 122.000; Vollzeit

Zusammenfassung

CVS Health in Milton, MA is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. This role reports to the Sr. Manager of PBM Underwriting and supports CVS Health Enterprise pricing decisions.

You will collaborate with Finance, Sales, and Caremark teams to optimize pricing, utilize Caremark underwriting models and FAF systems, and drive data-driven recommendations for improved profitability.

Qualifikationen

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Prior PBM/Health Plan or PBM/Employer experience
• Actuarial certifications are a plus
• Strong technical skills — particularly in Excel

Aufgaben

• Assess risk and develop recommendations to maximize client value while retaining margin first in the PBM and second in the Enterprise
• Develop pricing recommendations for multiple lines of business based on in-depth competitive analysis
• Assist Aetna’s Underwriting leadership to develop pricing for downstream pricing by providing segment-specific data
• Complete tasks in the Caremark Underwriting models
• Modify FAFs appropriately
• Ad-hoc analysis to support internal and client requests
• Develop and maintain relationships with Sales and Account Management
• Develop relationships with Caremark and Aetna Finance partners to assist in margin budget development and validation
• Create and update multiple complex Pricing Commitment Documents to reflect Caremark’s pricing and contract terms for each business segment
• Advise Caremark Legal as the Underwriting subject matter expert during contract negotiations
• Provide ad hoc analysis and advise on implementation scenarios related to regulatory changes
• Work with internal partners to understand downstream implications of proposed pricing strategy and facilitate seamless implementation
• Ability to analyze and make recommendations when information is incomplete; self-direct to solutions

Kenntnisse

Actuarial experience

Financial analysis

Underwriting

Excel

Ausbildung

Bachelor's degree in mathematics, finance, statistics, actuarial science or related field

Tools

Excel

Jobbeschreibung

CVS Health in Milton, MA is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. This role reports to the Sr. Manager of PBM Underwriting and supports CVS Health Enterprise pricing decisions.

You will collaborate with Finance, Sales, and Caremark teams to optimize pricing, utilize Caremark underwriting models and FAF systems, and drive data-driven recommendations for improved profitability.