Senior PBM Underwriting & Pricing Analyst

CVS Health; Heber (UT); On-site; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to drive financial analysis and pricing for PBM and enterprise programs. You will work with Caremark, Aetna, and Finance to optimize pricing strategies and profitability, using data-driven insights to influence contract terms and client outcomes.

The role emphasizes independent analysis, collaborative problem solving, and the ability to translate complex pricing scenarios into actionable recommendations for leadership and clients.

Qualifications

• 3 years in a health plan actuarial, PBM financial analysis or underwriting role.
• Preferred PBM/Health Plan experience; actuarial certifications a plus.
• Strong technical skills – particularly in Excel.

Responsibilities

• Assess risk and develop recommendations to maximize client value while retaining margin in PBM and 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 with segment 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 and with Caremark and Aetna Finance partners.
• Create and update Pricing Commitment Documents reflecting Caremark terms for each business segment.
• Advise Caremark Legal during contract negotiations.
• Provide ad hoc analysis on regulatory changes and implementation scenarios.

Skills

Excel

Underwriting

Pricing analysis

Education

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

Tools

Caremark underwriting models

Job description

CVS Health is seeking an Underwriting Sr. Analyst to drive financial analysis and pricing for PBM and enterprise programs. You will work with Caremark, Aetna, and Finance to optimize pricing strategies and profitability, using data-driven insights to influence contract terms and client outcomes.

The role emphasizes independent analysis, collaborative problem solving, and the ability to translate complex pricing scenarios into actionable recommendations for leadership and clients.