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Position Summary

The Specialty Guarantee Management Senior Manager will lead a team of analysts responsible for reviewing specialty guarantee performance by client on a monthly basis, prepare financial performance reporting, provide reporting and information for audit requests, and partner with Underwriting, Sales/Account Management, Audit, Legal and Product Innovation, and Client and Network pricing, to review contract terms and provide recommendations for pricing strategy as a subject matter expert.

Additionally the Senior Manager will help grow the financial performance of our specialty business by reporting and forecasting financials for Specialty drug pricing guarantee management , margin management as well as client contract compliance .

Primary responsibilities include:

1. Lead monthly client guarantee performance review calls with the finance functional area to provide overview of client guarantee performance, budget and forecast projections.

2. Collaborate with data and software engineering functional areas for continued system enhancements to the Specialty Guarantee Management application.

3. Support analysts responsible for performing monthly data pulls for specialty guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization.

4. Review contract terms, coupled with financial results to provide recommendations to legal, product innovation, underwriting and the account teams for more favorable contract terms.

5. 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.

   A successful candidate in this role has:

• Leadership skills and experience in leading a team

• A pricing and/ or financial background

• Review and analyze complex financials.

• Highly proficient in working with large data sets

• Ability to work in a very fast-paced environment with tight deadlines

• Experience in setting up process and executing against them.

• Possess excellent verbal and written communications skills, and interpersonal skills.

• Demonstrated experience using business analytics to problem solve data-driven questions

• Aptitude to communicate complex analytic findings and conclusions in an easy to understand way

• Ability to collaborate with and influence clients and customers to develop analytic models, methodologies and reports that support CVS Health products and services

• Ability to appropriately prioritize competing client requests to ensure focus on highest impact activities

• Ability to interact with others in a collegial and professional manner; leverage team resources to support assigned clients; and help foster teamwork and knowledge sharing to complete key tasks

Required Qualifications - 7+ years of Pricing/Financial analysis experience

• 3+ years of leading a team and management experience

• 2+ years of SAS, SQL, Access, Tableau and Excel

Preferred Qualifications

• 3+ years of Pharmacy Benefit Management (PBM) experience -Experience in pricing/underwriting for Pharmacy- Knowledge of health insurance, managed care, prescription drug industry, or specialty pharmacy preferred

Education Bachelor's Degree required or relevant work experience may be considered

Pay Range

The typical pay range for this role is:

$75,400.00 - $166,000.00

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. This position also includes an award target in the company’s equity award program. 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 jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 09/30/2024

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.