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Position Summary
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

- 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.

Preferred Qualifications
- 2 years’ experience with PBM
- Knowledge of health insurance, managed care, or pharmaceutical industry preferred
- Analytical expertise and experience, SAS, SQL, Access, and Excel
Education
- Bachelor's Degree required or relevant work experience may be considered.
- Masters Degree preferred

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

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