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**Experienced Manager, Assumptions and Data Tools - PBM Pricing and Analytics Expert**

Remote, USA Full-time Posted 2025-11-03
Join a team that's making a tangible difference in the healthcare industry. We're seeking an experienced Manager, Assumptions and Data Tools to drive success in our PBM pricing and analytics team. This role offers a great job, a vibrant community, and a competitive salary. As a key member of our team, you will be responsible for supporting CVS Health's PBM pricing activities, ensuring UW model accuracy, and leveraging data-driven insights to validate and vet assumptions. **About CVS Health** At CVS Health, we're committed to delivering enhanced human-centric healthcare for a rapidly changing world. Our purpose is to bring our heart to every moment of your health, and 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 healthcare 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 * Leveraging market-leading tools for the CFAP organization to organize and maintain assumptions and artifacts * Communicating to business partners * Managing underwriting assumptions contained in the underwriting ecosystem and coordinating assumptions across the PBM organization * Partnering with Business resources to gather, refine, and evaluate assumptions and artifacts to impact the Underwriting process * Fostering strong links to the PBM finance team regarding forecasting assumptions, client profitability efforts, and financial governance of underwriting activities * Supporting discussions that are highly complex financially * Playing 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 * Prioritizing effectively and efficiently to meet internal and external customer needs * Supporting the presentation of information to Executive Leadership * Responding to questions in real-time in support of their review and approval * Participating in peer reviews of high complex data requests to validate that modeled data and related analytic deliverables match and satisfy business requirements * Assisting in ad-hoc analysis **Required Qualifications** * 5+ years of professional experience in Pricing, Underwriting, Data analytics, or Financial Analysis within Healthcare * 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 **Preferred Qualifications** * Advanced knowledge of data visualization tools and techniques * Experience with data governance and data quality initiatives * Strong understanding of healthcare industry trends and market dynamics * Experience working with large datasets and performing complex data analysis * Strong communication and presentation skills **Education** * Undergraduate degree in a relevant discipline, such as finance, mathematics, business, or other related field required or equivalent work experience **Compensation and Benefits** * 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 **Why Join Our Team?** * Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful * They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area * We offer a vibrant community, a competitive salary, and a range of benefits and perks * We're committed to delivering enhanced human-centric healthcare for a rapidly changing world * 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 healthcare more personal, convenient, and affordable **How to Apply** Ready to join us? 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