Senior PBM Underwriting & Financial Analyst

CVS Health; Utah; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting within the PBM space.

You will drive pricing strategies across multiple business lines, support CVS Health and Finance leadership, and partner with Caremark and Aetna teams to optimize profitability. The role emphasizes expert PBM/health plan economics, data-driven client recommendations, and the ability to communicate methodologies and outcomes clearly.

Qualifications

• 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 experience and Actuarial certifications a plus
• Strong technical skills – particularly in Excel

Responsibilities

• Assessing risk and developing recommendations to maximize client value while retaining margin first in the PBM and second in the Enterprise
• Developing pricing recommendations for multiple lines of business based on in-depth competitive analysis
• Assisting Aetna’s Underwriting leadership to develop pricing for downstream pricing by providing segment-specific data
• Completing tasks in the Caremark Underwriting models
• Modifying FAFs appropriately
• Ad-hoc analysis to support a variety of internal and client requests
• Developing and maintaining relationships with Sales and Account Management
• Developing relationships with Caremark and Aetna Finance partners to assist in margin budget development and validation
• Creating and updating multiple complex Pricing Commitment Documents to reflect Caremark’s pricing and contract terms offer 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, accurate, and on-time implementation
• Ability to analyze and make recommendations on questions or issues when not all the information is available; ability to self-direct to find solutions with minimal guidance
• Acquire and maintain leading-edge knowledge of PBM plan management strategies and solutions
• Ability to work both independently and part of a group in a fast-paced environment and manage tight deadlines

Skills

Actuarial experience

Actuarial certifications

Excel

Education

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

Tools

Excel

Job description

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting within the PBM space.

You will drive pricing strategies across multiple business lines, support CVS Health and Finance leadership, and partner with Caremark and Aetna teams to optimize profitability. The role emphasizes expert PBM/health plan economics, data-driven client recommendations, and the ability to communicate methodologies and outcomes clearly.