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. 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: Reviewing MAC prices and communicate recommendations to the client Respond to client requests for information and reports Establish and implement MAC prices Performing QC steps to confirm the accuracy of price updates Developing a core understanding of drug pricing, underwriting, network pharmacy performance, and PBM operations Identifying opportunities for process and documentation improvements 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.

Requirements

  • 3+ years work experience in underwriting, network provider relations, finance or analytics.
  • SAS, SQL or Python experience
  • Strong Excel skills
  • Ability to work independently

Nice To Haves

  • 1+ year experience in healthcare, pharmacy or PBM.
  • Strong organizational skills & time management
  • Effective problem-solving and analytical skills
  • Possess a desire to learn and grow through tackling new challenges
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Experience with business intelligence
  • Adept at collaboration and teamwork
  • Innovative thinker who is not afraid to propose new ideas and alternative solutions to a problem
  • History of problem solving and decision-making skills
  • Mastery of growth mindset (agility and developing yourself and others) skills
  • Understanding of how a PBM works

Responsibilities

  • Reviewing MAC prices and communicate recommendations to the client
  • Respond to client requests for information and reports
  • Establish and implement MAC prices
  • Performing QC steps to confirm the accuracy of price updates
  • Developing a core understanding of drug pricing, underwriting, network pharmacy performance, and PBM operations
  • Identifying opportunities for process and documentation improvements
  • Optimize MAC prices
  • Implement MAC prices as needed to meet pricing commitments and requirements
  • Perform QC processes
  • Develop reports
  • Perform other tasks as needed to support business needs
  • Collaborate with both the client and internal business partners as needed to accomplish required tasks

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • 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.
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