CVS Health

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Underwriting and Pricing Director - PBM

at CVS Health

Posted: 9/9/2019
Job Reference #: 1014201BR

Job Description

Job Description
Would you like to join a Fortune 8 company, CVS Health , leading our dynamic Health Plan Underwriting & Analytics team? In this high impact role, you will lead multiple teams responsible for complex analysis of strategic business initiatives.

You will:

- Oversee a team of PBM Underwriters and Pricing Analysts who support Sales and Account Services with winning and retaining clients.

- Oversee the creation of PBM pricing offers including retail network pricing, mail and specialty pricing, manufacturer rebate offers, and pricing for ancillary services.

- Support participation in Request for Proposal activities by developing and maintaining relationships with key internal partners, such as, Sales and Account Services, Proposals, Retail Networks, Pharmaceutical Manufacturer Relations, and other areas.

A successful candidate for this role will have a demonstrated ability to understand the health plan business models. Specifically, you should have:

- Experience working with health plans that offer multiple lines of business, such as fully-insured, ASO, managed Medicaid, Medicare Part-D, and health insurance exchanges.

- Experience influencing various types of health plan decision makers, including representatives from medical, pharmacy, actuarial, sales, and finance.

- Experience with health plans that are highly custom in their approach to managing the benefit custom formularies, clinical programs, channel solutions, and integrated benefit designs.

Join the company helping people on their path to better health! Our organization offers a competitive benefit package including vacation, holiday time, health/dental/vision insurance, work/life balance, employee discounted stock purchase program, 401K, tuition reimbursement, and employee discounts at all CVS stores.

Required Qualifications
- 10 years' experience in the PBM or health plan industry

Preferred Qualifications
- Prior management experience strongly preferred, with proven success contributing through others
- Experience working in a geographically diverse company and in a matrix reporting environment
- Experience leading PBM pricing and underwriting activities.

Bachelor's degree required.
Master's degree preferred.

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!