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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Pricing Operations Senior Analyst will review guarantee performance by client on a monthly basis, prepare financial performance reporting, provide reporting and information for audit requests, and partner with Underwriting, Networks, Sales/Account Management, Audit and Legal, to review contract terms and provide recommendations for pricing strategy.
Job Responsibility:
Perform monthly data pulls for assigned guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization
Collaborate with underwriting, finance and accounting partners to understand and improve gaps and overlaps in processes and gain further understanding of the multiple components and factors that impact a client’s financial performance
Perform lookback analysis to review underwriting assumptions to contract language and actual results, in an effort to provide future recommendations to senior leadership
Requirements:
5 years pricing, financial or data analysis experience required
Experience with creating financial models and working with large data sets and in a database environment
Bachelor's Degree required or relevant work experience may be considered
Nice to have:
2+ years’ experience with PBM
Knowledge of health insurance, managed care, or pharmaceutical industry preferred
Analytical expertise and experience, SAS, SQL, Access, and Excel
Masters Degree preferred
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching