Senior PBM Underwriting & Pricing Analyst

CVS Health; West Virginia; On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. You will influence pricing for caremark products and collaborate with Finance leadership to optimize profitability across multiple client segments.

The role emphasizes building expertise in PBM economics, communicating findings clearly, and driving process improvements while supporting internals and clients in a fast-paced environment.

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

Skills

Excel

Education

Bachelor's degree in mathematics finance statistics actuarial science or other risk management or data related fields

Job description

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. You will influence pricing for caremark products and collaborate with Finance leadership to optimize profitability across multiple client segments.

The role emphasizes building expertise in PBM economics, communicating findings clearly, and driving process improvements while supporting internals and clients in a fast-paced environment.