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Manager, Assumptions and Data Tools

AT CVS Health
CVS Health

Manager, Assumptions and Data Tools

Dover, DE

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

As Manager, CFAO Assumptions & Data Tools, you will be responsible for key support functions for CVS Health's PBM pricing activities. This role is critical in ensuring UW model accuracy by supporting the underwriting assumptions process as well as assisting with other financial processes. Primary responsibilities include understanding, assessing, and implementing underwriting assumptions and artifacts; leveraging a combination of data driven insights and market dynamics to validate and vet assumptions; leverage market leading tools for the CFAP organization to organize and maintain assumptions and artifacts; and communicating to business partners.

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Additionally, this position will:
  • Manage underwriting assumptions contained in the underwriting ecosystem and coordinate assumptions across the PBM organization including finance, supply chain and other key areas. Partner with Business resources to gather, refine and evaluate assumptions and artifacts to impact the Underwriting process.
  • Foster strong links to the PBM finance team regarding forecasting assumptions, client profitability efforts, and financial governance of underwriting activities.
  • Support discussions that are highly complex financially.
  • Play a critical role in creating a pricing governance structure to ensure financial objectives and process excellence are both met while meeting challenging deadlines and expectations driven by the marketplace.
  • Prioritize effectively and efficiently to meet internal and external customer needs.
  • Support the presentation of information to Executive Leadership. Respond to questions in real-time in support of their review and approval.
  • Participate in peer reviews of high complex data requests to validate that modeled data and related analytic deliverables match and satisfy business requirements.
  • Assist in ad-hoc analysis.
The successful candidate will have a track record that demonstrates the following abilities: working successfully in a cross-matrix environment, adapting and performing in a dynamic and changing environment, developing and leveraging a comprehensive understanding of CVS Caremark's enterprise assets, developing a deep understanding of internal and external assumptions, maintaining high levels of customer satisfaction, constantly striving to innovate and improve processes and applying financial and analytical expertise to make informed recommendations and decisions.

Required Qualifications
  • 5+ years professional experience in Pricing, Underwriting, Data analytics or Financial Analysis within Healthcare.
Preferred Qualifications
  • Previous PBM experience preferred.
  • Experience working with health plans, employer clients, or coalitions/TPAs, with multiple lines of business with different funding arrangements.
  • Proficient in SQL and Microsoft Office.
  • Strong understanding of, or experience with, internal and external facing pricing and analytics teams.
  • Ability to innovate, develop, and implement new products or solutions requiring collaboration with internal partners. Demonstrated success developing effective relationships with key internal partners across the enterprise.
  • Advanced knowledge of relational databases and warehouses, advanced SQL, OLAP and SAS skills.
  • Experience managing complex projects in a matrix environment.
  • Ability to summarize complex financial analysis and support recommendations in presentations to Executive Leadership.
  • Ability to work independently in a fast-paced environment and manage tight deadlines.
  • Knowledge of legal contracts.
Education
  • Undergraduate degree in a relevant discipline, such as finance, mathematics, business or other related field required or equivalent work experience.
Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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 Benefits | CVS Health

We anticipate the application window for this opening will close on: 04/30/2025

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

Client-provided location(s): Dover, DE, USA
Job ID: CVS-R0390809_1002
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • HSA
    • HSA With Employer Contribution
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
  • Financial and Retirement

    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program