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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in financial analysis and underwriting within the PBM and health plan sectors, with a strong focus on pricing strategies, risk assessment, and client value maximization. Proficient in Excel and capable of developing complex pricing recommendations while collaborating with internal and external stakeholders.
Highest-signal resume keywords
Financial AnalysisPBM Pricing StrategiesRisk AssessmentExcel ProficiencyActuarial Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Financial AnalysisUnderwriting ActivitiesPricing StrategiesCompetitive AnalysisData AnalysisPricing Commitment DocumentsFee Authorization FormsAd Hoc AnalysisMargin Budget DevelopmentRegulatory Analysis
Soft Skills
Self-DirectionProblem-SolvingCollaborationTime ManagementAdaptability
Certifications & Qualifications
Actuarial Certifications
Industry Keywords
PBMHealth PlanActuarial ScienceRisk ManagementClient Value Maximization
About the role
Key responsibilities & impact- Perform financial analysis and underwriting activities
- Manage complex PBM pricing strategies and pricing deployment
- Assess risk and develop recommendations to maximize client value while retaining margin
- Develop pricing recommendations for multiple lines of business using competitive analysis
- Assist Aetna Underwriting leadership with downstream pricing through segment-specific data
- Complete tasks in Caremark Underwriting models
- Modify Fee Authorization Forms appropriately
- Conduct ad hoc analysis for internal and client requests
- Develop and maintain relationships with Sales and Account Management
- Work with Caremark and Aetna Finance partners on margin budget development and validation
- Create and update complex Pricing Commitment Documents reflecting pricing and contract terms
- Advise Caremark Legal as the Underwriting subject matter expert during contract negotiations
- Analyze and advise on implementation scenarios related to regulatory changes
- Coordinate with internal partners to facilitate accurate and timely pricing-strategy implementation
- Report to the Senior Manager of PBM Underwriting
Requirements
What you’ll need- 3 years in a health plan actuarial role, PBM financial analysis or underwriting role, or comparable industry experience
- Prior PBM/Health Plan or PBM/Employer experience preferred
- Actuarial experience and Actuarial certifications a plus
- Strong technical skills, particularly in Excel
- Bachelor's degree in mathematics, finance, statistics, actuarial science or other risk management or data related fields or equivalent experience
- Ability to analyze and make recommendations when not all information is available
- Ability to self-direct to find solutions with minimal guidance
- Ability to work independently and as part of a group in a fast-paced environment
- Ability to manage tight deadlines
- Leading-edge knowledge of PBM plan management strategies and solutions
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay