Senior Underwriting & Pricing Analyst — PBM

CVS Health; Elm (PA); On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. You will analyze pricing across multiple business lines, support CVS Health and Finance leadership, and advise on contract terms and implementation.

The role involves working with Caremark and Aetna teams to optimize profitability, build pricing models, and deploy pricing strategies while meeting regulatory requirements and deadlines.

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience.
• Proven experience in pricing and financial analysis within PBM or healthcare insurance.

Responsibilities

• Assess risk and develop recommendations to maximize client value while retaining margin.
• Develop pricing recommendations for multiple lines of business based on competitive analysis.
• Assist underwriting leadership to develop pricing for downstream pricing with segment-specific data.
• Complete tasks in Caremark Underwriting models and modify FAFs as needed.
• Conduct ad hoc analyses to support internal and client requests.
• Maintain relationships with Sales, Account Management, Caremark, and Aetna Finance partners.
• Create and update Pricing Commitment Documents reflecting Caremark terms for each business segment.
• Advise Caremark Legal during contract negotiations and provide implementation guidance on regulatory changes.

Education

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

Tools

Excel

Job description

CVS Health is seeking an Underwriting Sr. Analyst to lead financial analysis and underwriting for PBM pricing strategies. You will analyze pricing across multiple business lines, support CVS Health and Finance leadership, and advise on contract terms and implementation.

The role involves working with Caremark and Aetna teams to optimize profitability, build pricing models, and deploy pricing strategies while meeting regulatory requirements and deadlines.