Senior Underwriting Analyst: PBM Pricing & Strategy

CVS Health; Town of King (WI); On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health seeks an Underwriting Sr. Analyst to lead financial analysis and underwriting within the PBM pricing arena.

You will influence pricing for multiple lines of business and work with CVS Health, Aetna, and Caremark stakeholders to optimize profitability and client outcomes. In this role you will master Caremark underwriting models, FAF systems, and enterprise pricing levers, delivering data-driven recommendations, maintaining relationships with Sales, and guiding contract negotiations

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting.
• Bachelor's degree in math/finance, statistics or actuarial science or related field.
• Experience with PBM pricing and underwriting preferred.

Responsibilities

• Assess risk and maximize client value while retaining margin in PBM and Enterprise.
• Develop pricing recommendations for multiple lines of business.
• Assist underwriting leadership to develop pricing for downstream pricing.
• Complete tasks in Caremark Underwriting models and modify FAFs.
• Ad‑hoc analysis to support internal and client requests.
• Develop and maintain relationships with Sales and Account Management.
• Develop relationships with Caremark and Aetna Finance partners to assist in margin budget development and validation.
• Create and update Pricing Commitment Documents reflecting Caremark pricing and contracts.
• Advise Caremark Legal during contract negotiations and provide implementation guidance for regulatory changes.

Skills

Excel

Financial analysis

Underwriting

Education

Bachelor's degree in math/finance

Tools

Caremark Underwriting models

FAF systems

Job description

CVS Health seeks an Underwriting Sr. Analyst to lead financial analysis and underwriting within the PBM pricing arena.

You will influence pricing for multiple lines of business and work with CVS Health, Aetna, and Caremark stakeholders to optimize profitability and client outcomes. In this role you will master Caremark underwriting models, FAF systems, and enterprise pricing levers, delivering data-driven recommendations, maintaining relationships with Sales, and guiding contract negotiations