
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
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.
🔥 0 minutes ago
🏈 Alabama, Arizona, +41 more states – Remote
💵 $47k - $122.4k / year
⏰ Full Time
🟠 Senior
📋 Underwriter
👻 Ghost score 0%
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
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.
• Perform financial analysis and underwriting activities • Manage complex PBM pricing strategies and pricing deployment • Assess risk and develop recommendations to maximize client value while retaining margin • Develop pricing recommendations for multiple lines of business using competitive analysis • Assist Aetna Underwriting leadership with downstream pricing through segment-specific data • Complete tasks in Caremark Underwriting models • Modify Fee Authorization Forms appropriately • Conduct ad hoc analysis for internal and client requests • Develop and maintain relationships with Sales and Account Management • Work with Caremark and Aetna Finance partners on margin budget development and validation • Create and update complex Pricing Commitment Documents reflecting pricing and contract terms • Advise Caremark Legal as the Underwriting subject matter expert during contract negotiations • Analyze and advise on implementation scenarios related to regulatory changes • Coordinate with internal partners to facilitate accurate and timely pricing-strategy implementation • Report to the Senior Manager of PBM Underwriting
• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience • Prior PBM/Health Plan or PBM/Employer experience preferred • Actuarial experience and Actuarial certifications a plus • Strong technical skills, particularly in Excel • Bachelor's degree in mathematics, finance, statistics, actuarial science or other risk management or data related fields or equivalent experience • Ability to analyze and make recommendations when not all information is available • Ability to self-direct to find solutions with minimal guidance • Ability to work independently and as part of a group in a fast-paced environment • Ability to manage tight deadlines • Leading-edge knowledge of PBM plan management strategies and solutions
• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay
Apply Now🔥 1 hour ago
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