Senior Underwriting Analyst, PBM Pricing & Insights

CVS Health

Accident (AR)

On-site

USD 47,000 - 122,000

Full time

8 days ago

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Benefits offered by this job

Bonus eligibility

Comprehensive benefits package

Job summary

CVS Health is seeking an Underwriting Senior Analyst to lead financial analysis and underwriting for PBM pricing strategies across multiple lines of business. You will support pricing deployment, provide segment-specific data, and collaborate with Finance and Sales teams to optimize margins.

Role requires 3+ years in health plan actuarial or underwriting, strong Excel skills, and familiarity with Caremark underwriting models.

Qualifications

3 years in a health plan actuarial, PBM financial analysis, or underwriting role.
Experience with PBM pricing strategies and pricing deployment.
Strong Excel and data analysis capabilities.

Responsibilities

Assessing risk and developing recommendations to maximize client value while retaining margin.
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 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 complex Pricing Commitment Documents to reflect Caremark’s pricing and contract terms.