Senior PBM Underwriting & Pricing Analyst

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

Job summary

CVS Health is seeking an experienced Underwriting Sr. Analyst to lead financial analysis and pricing strategies across PBM and enterprise pricing.

The role emphasizes building expert PBM economics knowledge, supporting underwriting leadership, and delivering data-driven recommendations to optimize margins. You will collaborate with Caremark, Aetna, and internal teams to deploy pricing models, analyze regulatory impacts, and ensure accurate implementation of pricing decisions in a fast-paced

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Experience with PBM pricing or underwriting systems preferred.
• Actuarial certifications a plus.

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 and modifying FAFs as needed.
• Ad-hoc analysis to support internal and client requests.

Skills

Excel

Actuarial certifications

Education

Bachelor's degree in mathematics, finance, statistics, actuarial science

Job description

CVS Health is seeking an experienced Underwriting Sr. Analyst to lead financial analysis and pricing strategies across PBM and enterprise pricing.

The role emphasizes building expert PBM economics knowledge, supporting underwriting leadership, and delivering data-driven recommendations to optimize margins. You will collaborate with Caremark, Aetna, and internal teams to deploy pricing models, analyze regulatory impacts, and ensure accurate implementation of pricing decisions in a fast-paced