Manager, Rebate Forecast Tools

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🕒 May 31

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support the execution and maintenance of rebate forecasting processes, including updates to model inputs, tables, and supporting assumptions. • Assist with ongoing maintenance of forecasting tools, including updates to rates, modifiers, and override logic as needed. • Contribute to coding and troubleshooting within forecasting tools (e.g., formula-based logic and model structures). • Perform ad hoc analyses and reporting to support rebate forecasting decisions, including evaluation of formulary changes, pricing strategies, and forecasting assumptions. • Support factor analysis and investigation of changes in forecast outputs, including identification of key drivers and validation of results. • Assist in developing materials and summaries to support leadership review and decision-making processes. • Support key forecasting cycles and periodic processes (e.g., bid support, annual refreshes, and assumption reviews), ensuring timelines and deliverables are met. • Review and validate updates to forecasting assumptions, including confirmation of new or retiring strategies. • Participate in cross-team testing efforts, including end-to-end validation of forecasting outputs with underwriting and partner teams. • Support quality control processes, including review of model outputs, reconciliation activities, and issue identification/tracking. • Partner with stakeholders across Underwriting, Trade, Pricing Strategy, and tool development teams to gather requirements, resolve issues, and ensure alignment on deliverables. • Coordinate feedback intake and issue tracking processes, ensuring timely follow-up and resolution of identified items. • Maintain and update documentation related to rebate forecasting tools, assumptions, and processes. • Identify opportunities to improve efficiency, reliability, and transparency of rebate forecasting processes and tools. • Support team-level metrics, reporting, and tracking of key activities where required.

🎯 Requirements

• 5+ years of experience in analytics, underwriting, actuarial, forecasting, or a related quantitative field • Strong proficiency in Microsoft Excel, including complex formulas and model-based analysis • Experience working with structured datasets and performing data validation and reconciliation across multiple inputs • Demonstrated ability to manage multiple priorities and operate effectively under tight timelines • Strong communication skills, including the ability to summarize complex analytical findings and support cross-functional discussions. • Experience in PBM, healthcare, underwriting, or pricing/forecasting environments. • Familiarity with rebate forecasting concepts, contract interpretation, or pricing assumptions. • Experience supporting model testing, validation, and release processes. • Ability to work effectively in a matrixed organization and coordinate across multiple stakeholder groups.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources

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