Skip to main content
CVS Health Pricing Operations Senior Analyst 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.
Primary responsibilities include: 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. The successful candidate will have analytical, programming, and interpersonal skills, be able to manage both long- and short- term projects and assignments effectively, and work collaboratively in inter-departmental settings to accomplish tasks and goals. You will have the opportunity to develop reporting packages and presentations to management, create best-practices, and draw conclusions from the information to provide input to critical business decisions. Key interactions are with Underwriting, Networks, Sales/Account Management, Finance, Accounting, Audit and Legal.
Required Qualifications: 3+ years of experience with creating financial models and working with large data sets in a database environment.3+ years of experience managing multiple projects and delivering results timely 2+ years of SQL/Google Cloud Big QueryMust be proficient in excel
Preferred Qualifications: Knowledge of health insurance, managed care, or pharmaceutical industry preferred2+ PBM experience, preferably in drug pricing and analytics
Education: Bachelor's Degree or equivalent work experience
Anticipated Weekly Hours: 40 Time Type: Full time
Pay Range: $46,988.00 - $102,000.00 Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‐time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‐being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Matching similar jobs

Level

Senior L5

Salary

$46,988 - $102,000 per year

Location

Denver, CO

Occupation

Computer Systems Analysts

Industry

Custom Computer Programming Services

Posted

yesterday

APPLY NOW (opens in a new tab)