Senior Underwriting Analyst - PBM & Health Pricing

CVS Health; Charlotte (NC); On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Bonus program

Comprehensive benefits

Full-time position

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies across Caremark and Enterprise. You’ll collaborate with underwriting and finance leadership to improve profitability and service levels.

Responsibilities include developing pricing recommendations, managing Caremark underwriting models, and delivering ad hoc analyses to support client requests while maintaining strong partnerships with Sales, Account Management and Finance.

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Bachelor's degree in mathematics, finance, statistics, actuarial science or related fields.

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
• 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

Skills

PBM financial analysis

Underwriting experience

Excel skills

Education

Bachelor's degree in math/finance/statistics/actuarial science

Tools

Microsoft Excel

Job description

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies across Caremark and Enterprise. You’ll collaborate with underwriting and finance leadership to improve profitability and service levels.

Responsibilities include developing pricing recommendations, managing Caremark underwriting models, and delivering ad hoc analyses to support client requests while maintaining strong partnerships with Sales, Account Management and Finance.