Senior Underwriting Analyst, PBM Finance

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

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies, working with CVS Health, Aetna and enterprise pricing teams.

You will manage complex PBM pricing deployments, develop pricing for multiple lines of business, and provide data-driven insights to support strategic decisions. The role emphasizes independent analysis, cross-functional collaboration with Sales and Account Management, and deep knowledge of PBM economics and

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Experience with Caremark underwriting models and/or EOS systems is a plus.
• Strong analytical, communication and data interpretation skills to support pricing strategies and explain methodology and outcomes.

Responsibilities

• Assessing risk and developing recommendations to maximize client value while retaining margin in PBM and 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 with segment-specific data.
• Completing tasks in the Caremark Underwriting models.
• Modifying FAFs appropriately.
• Ad-hoc analysis to support 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 Pricing Commitment Documents reflecting Caremark’s pricing and contract terms for each business segment.
• Advise Caremark Legal as 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 implementation.
• Ability to work independently and in a fast-paced environment to meet deadlines.
• Acquire and maintain knowledge of PBM plan management strategies and solutions.

Education

Bachelor's degree

Tools

Excel

Job description

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies, working with CVS Health, Aetna and enterprise pricing teams.

You will manage complex PBM pricing deployments, develop pricing for multiple lines of business, and provide data-driven insights to support strategic decisions. The role emphasizes independent analysis, cross-functional collaboration with Sales and Account Management, and deep knowledge of PBM economics and