About the role
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.
Position Summary
The Pricing Operations Senior Analyst will review guarantee performance by client on a monthly basis, prepare financial performance reporting, provide reporting and information for audit requests, and partner with Underwriting, Networks, Sales/Account Management, Audit and Legal, to review contract terms and provide recommendations for pricing strategy.
Primary responsibilities include:
* Perform monthly data pulls for assigned guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization. * Collaborate with underwriting, finance and accounting partners to understand and improve gaps and overlaps in processes and gain further understanding of the multiple components and factors that impact a client’s financial performance. * Perform lookback analysis to review underwriting assumptions to contract language and actual results, in an effort to provide future recommendations to senior leadership.
The successful candidate will have analytical, programming, and interpersonal skills, be able to manage both long- and short- term projects and assignments effectively, and work collaboratively in inter-departmental settings to accomplish tasks and goals. You will have the opportunity to develop reporting packages and presentations to management, create best-practices, and draw conclusions from the information to provide input to critical business decisions. Key interactions are with Underwriting, Networks, Sales/Account Management, Finance, Accounting, Audit and Legal.
Required Qualifications
* 3+ years of experience with creating financial models and working with large data sets in a database environment. * 3+ years of experience managing multiple projects and delivering results timely * 2+ years of SQL/Google Cloud Big Query * Must be proficient in excel
Preferred Qualifications
* Knowledge of health insurance, managed care, or pharmaceutical industry preferred * 2+ PBM experience, preferably in drug pricing and analytics
Education
Bachelor's Degree or equivalent work experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $102,000.00
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/15/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.