Senior Underwriting Analyst, PBM Pricing & Finance

CVS Health; Beryl (WV); On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, vision

Bonus program

Paid time off

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to shape pricing strategy for PBM and enterprise clients. You will manage complex pricing deployments and provide advisory analysis to the underwriting team and Caremark stakeholders.

The role requires deep knowledge of PBM economics, strong Excel skills, and a track record of delivering data‑driven insights to improve financial outcomes. A Bachelor's degree in a quantitative field and at least three years in health-plan actuarial or underwriting

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role.
• Actuarial knowledge and/or certifications a plus.
• Strong Excel and data analysis skills.

Responsibilities

• Assess risk and maximize client value while retaining margin first in the PBM and second in the Enterprise
• Develop 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

PBM pricing

Financial analysis

Actuarial knowledge

Education

Bachelor's degree (math/finance/actuarial)

Tools

Excel

Job description

CVS Health is seeking an Underwriting Sr. Analyst to shape pricing strategy for PBM and enterprise clients. You will manage complex pricing deployments and provide advisory analysis to the underwriting team and Caremark stakeholders.

The role requires deep knowledge of PBM economics, strong Excel skills, and a track record of delivering data‑driven insights to improve financial outcomes. A Bachelor's degree in a quantitative field and at least three years in health-plan actuarial or underwriting