pbm analyst

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
As a member of the Client and Network Pricing Team you will be responsible for supporting drug pricing initiatives aimed at driving efficient pricing to our members for Commercial, Medicaid, Med D, and other Lines of Business. Some of your key responsibilities will include:<ul><li>
Reviewing MAC prices and communicate recommendations to the client</li><li>
Respond to client requests for information and reports</li><li>
Establish and implement MAC prices</li><li>
Performing QC steps to confirm the accuracy of price updates</li><li>
Developing a core understanding of drug pricing, underwriting, network pharmacy performance, and PBM operations</li><li>
Identifying opportunities for process and documentation improvements</li></ul> 
To be successful, you will work as part of a team to optimize MAC prices, implement MAC prices as needed to meet pricing commitments and requirements, perform QC processes, develop reports, and perform other tasks as needed to support business needs. You will collaborate with both the client and internal business partners as needed to accomplish required tasks. 
 
Required Qualifications<ul><li>
3+ years work experience in underwriting, network provider relations, finance or analytics.</li><li>
SAS, SQL or Python experience</li><li>
Strong Excel skills</li><li>
Ability to work independently</li></ul> 
Preferred Qualifications<ul><li>
1+ year experience in healthcare, pharmacy or PBM.</li><li>
Strong organizational skills &amp; time management</li><li>
Effective problem-solving and analytical skills</li><li>
Possess a desire to learn and grow through tackling new challenges</li><li>
Adept at execution and delivery (planning, delivering, and supporting) skills</li><li>
Experience with business intelligence</li><li>
Adept at collaboration and teamwork</li><li>
Innovative thinker who is not afraid to propose new ideas and alternative solutions to a problem</li><li>
History of problem solving and decision-making skills</li><li>
Mastery of growth mindset (agility and developing yourself and others) skills</li><li>
Understanding of how a PBM works</li></ul> 
Education<ul><li>
Bachelor's degree preferred</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $122,400.00
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. 
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 04/11/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

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