Senior Underwriting Analyst, PBM & Health Plans

CVS Health; Iowa City (IA); On-site; USD 47,000 - 122,000; Full time

Job summary

CVS Health in the United States is seeking an Underwriting Sr. Analyst to lead financial analysis and pricing strategies for PBM and Enterprise pricing. You will drive pricing decisions, support finance leadership, and help optimize profitability.

The role requires developing expert knowledge of PBM economics and communicating findings with stakeholders, while advancing process improvements and data-driven insights to better serve clients and communities.

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.

Responsibilities

• Assess risk and maximize client value while preserving margin in PBM and Enterprise.
• Develop pricing for multiple lines of business using competitive analysis.
• Support underwriting leadership with segment-specific pricing data.
• Update Caremark Underwriting models and FAFs.
• Perform ad-hoc analyses for internal and client requests.
• Build relationships with Sales, Account Management, Caremark, and Aetna Finance.
• Prepare Pricing Commitment Documents reflecting pricing terms.
• Advise on contract negotiations with Caremark Legal.
• Analyze regulatory changes and implementation scenarios.
• Stay current on PBM plan management strategies.

Education

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

Tools

Excel

Job description

CVS Health in the United States is seeking an Underwriting Sr. Analyst to lead financial analysis and pricing strategies for PBM and Enterprise pricing. You will drive pricing decisions, support finance leadership, and help optimize profitability.

The role requires developing expert knowledge of PBM economics and communicating findings with stakeholders, while advancing process improvements and data-driven insights to better serve clients and communities.