Senior Underwriting Analyst, PBM & Health Plans

CVS Health; Guin (AL); 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 pricing strategies for PBM and enterprise clients. This role reports into the Sr.

Manager of PBM Underwriting and centers on delivering data-driven insights to optimize profitability and client value. You will build pricing models, coordinate with Caremark and Aetna partners, and drive process improvements while communicating methodologies and outcomes to leadership.

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Actuarial certifications a plus.
• Strong technical skills 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

Excel

Actuarial knowledge

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 pricing strategies for PBM and enterprise clients. This role reports into the Sr.

Manager of PBM Underwriting and centers on delivering data-driven insights to optimize profitability and client value. You will build pricing models, coordinate with Caremark and Aetna partners, and drive process improvements while communicating methodologies and outcomes to leadership.