Sr Analyst, Pharmacy Underwriter

CVS Health•Hartford, CT

3d•Onsite

About The Position

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. CVS is looking to add a Sr Analyst, Pharmacy Underwriter. In this role, you would be responsible for supporting both new business and renewal case specific ASC (self-insured) Pharmacy Pricing, as well as developing financial offers that are both competitive and profitable. In this role, you would provide support with financial responses for Request For Proposal questionnaires. The ideal candidate is able to anticipate customer needs and requirements as well as to facilitate and negotiate using tact and diplomacy. They will be involved in training, projects, and mentoring others. Works primarily on complex or high visibility cases, markets or underwriting methods. Candidates must have both underwriting and pharmacy experience

Requirements

3 years of relevant work experience
2 - 3 years of Pharmacy Underwriting experience required for this role
Candidates must have both underwriting and pharmacy experience

Nice To Haves

Extensive knowledge of the Aetna systems supporting ASC Pharmacy pricing methodology.
Risk Assessment/Analysis
Communication
Negotiation
Adaptability

Responsibilities

Identifies training issues and recommends a course of action.
Leads process improvement initiatives to improve productivity, accuracy and/or customer service and influences tool development
Provides superior customer service
Mentors and trains underwriting staff
Ensures team members have the information to do their jobs
Understands, applies and explains company services, product standards, underwriting policies, strategic direction and new initiatives relative to unit's responsibilities
Grants underwriting exceptions and financial variances within prescribed limit
Manages and/or participates on assigned projects and ensures project plans and/or work tasks are in alignment with overall goals
Participate in broker/customer meetings
Utilizes knowledge of competition and competitive position to evaluate risk and maximize profitability
Negotiates and explains rate development and application of underwriting policy
Analyzes problems or issues from different points of view to find the optimal solution
Evaluates and manages complex and/or high visibility cases, identifies risks and recommends appropriate measures to manage risks while growing or retaining membership
Assists team in meeting deadlines
Delivers quality financial products for new and renewal business
Builds strong cross-functional relationships with sales force and other internal organizations