Senior Underwriting & Pricing Analytics Lead

CVS Health; Orangeburg (SC); On-site; USD 47,000 - 122,000; Full time

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 will work with underwriting and finance leadership to drive value, support pricing deployment, and advise on contract negotiations with Caremark and Aetna partners. The role requires 3 years of health plan actuarial or underwriting experience, strong Excel skills, and a Bachelor's in a math/finance related field.

Qualifications

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting.
• Actuarial certifications a plus.
• Strong technical skills – Excel.

Responsibilities

• Assess risk and maximize client value while retaining margin in PBM and Enterprise.
• Develop pricing recommendations for multiple lines of business based on in-depth competitive analysis.
• Assist Aetna’s Underwriting leadership to develop pricing for downstream pricing by providing segment-specific data.
• Complete tasks in the Caremark Underwriting models.
• Modify FAFs appropriately.
• Ad-hoc analysis to support internal and client requests.
• Developing and maintaining relationships with Sales and Account Management.
• Collaborate with Caremark and Aetna Finance partners to assist in margin budget development and validation.
• Create and update Pricing Commitment Documents reflecting Caremark’s terms for each business segment.
• Advise Caremark Legal 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 implementation.
• Acquire and maintain knowledge of PBM plan management strategies.
• Work independently and as part of a group to meet deadlines.

Skills

Health plan actuarial experience

Excel proficiency

Education

Bachelor's degree in mathematics, finance, statistics, actuarial science or related field

Tools

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 will work with underwriting and finance leadership to drive value, support pricing deployment, and advise on contract negotiations with Caremark and Aetna partners. The role requires 3 years of health plan actuarial or underwriting experience, strong Excel skills, and a Bachelor's in a math/finance related field.