Senior Analyst, Underwriting

Overview

This role supports key Financial Analysis and Underwriting activities focused on Pharmacy Benefit Management (PBM) pricing. You will manage complex PBM pricing strategies and pricing deployment designed to meet business needs for the CVS Health enterprise (PBM and Aetna as the client), and you will serve as an advisory partner to the Aetna Underwriting team for downstream customer pricing. The position reports into the Sr. Manager of PBM Underwriting.

Responsibilities

• Assess risk and develop recommendations to maximize client value while retaining margin (first in PBM and second in the enterprise)
• Develop pricing recommendations for multiple lines of business using in-depth competitive analysis
• Provide Aetna Underwriting leadership with segment-specific data to support downstream pricing
• Complete tasks in the Caremark Underwriting models
• Modify Fee Authorization Forms (FAFs) appropriately
• Perform ad-hoc analysis to support internal and client requests
• Develop and maintain relationships with Sales and Account Management
• Build relationships with Caremark and Aetna Finance partners to support margin budget development and validation
• Create and update multiple complex Pricing Commitment Documents reflecting Caremark pricing and contract terms for each business segment
• Advise Caremark Legal as the Underwriting subject matter expert 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 support seamless, accurate, on-time implementation
• Use logic and analytic skills to direct client analysis when not all information is available; self-direct to find solutions with minimal guidance
• Acquire and maintain leading-edge knowledge of PBM plan management strategies and solutions
• Work independently and collaboratively in a fast-paced environment while managing tight deadlines

Requirements

• 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience

Preferred Qualifications

• Prior PBM/Health Plan or PBM/Employer experience
• Actuarial experience and Actuarial certifications a plus
• Strong technical skills, particularly in Excel

Education

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

Compensation & Benefits

• Anticipated Weekly Hours: 40
• Time Type: Full time
• Pay Range (Typical): $46,988.00 - $122,400.00
• Eligibility: This position is eligible for a bonus, commission, or short-term incentive program in addition to the base pay range listed above.
• Benefits: Comprehensive benefits package including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources (based on eligibility).

Location & Scheduling

• Full-time position
• Application window anticipated to close on 10/30/2026

Additional Information

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.