CVS Health
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Caremark is recruiting for an exciting opportunity to join it’s CVS Health’s leadership team as a Director, Pharmacy Benefit Management (PBM) Underwriting, Analysis and Strategy. In this role, you will lead a critical segment supporting a strategic PBM client division of CVS with responsibility for identifying and executing on opportunities to optimize client engagement and profitability by developing pricing offers that support client retention and growth. Daily activities include monitoring financial performance of the division, providing consultative information and recommendations in plan design, distribution channel, underwriting new pharmacy contracts and leading opportunities to increase revenue and profit margins.
You\'ll make an impact by:
Developing and maintaining a deep understanding of PBM financial levers within Commercial, Medicaid, Medicare Part D, and Public Exchange lines of business.
Conduct market and competitive analyses to understand industry trends, client needs, and competitor offerings.
Client relationship management by engaging with the client to understand their specific needs and concerns, building a strong, trust-based relationship and positions the company as a preferred partner.
Leading end to end financial optimization and pricing activities across Caremark’s PBM Health Plan clients ensuring timeliness, accuracy, and consultative value of analytic output.
Performance metrics and reporting by establishing and monitoring key performance indicators (KPIs) related to RFP success rates, turnaround times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in the underwriting process.
Communicating with key internal partners such as Sales and Account Management, Trade, Networks, IT and Product Development. The incumbent will work directly with the external clients to develop a deep understanding of their business and goals to assist with creating and supporting products and solutions that align with their strategy.
Developing and maintaining effective working relationships with key internal partners across the enterprise, including executive-level decision makers.
Guiding pricing consultation and strategy in an evolving regulatory environment to ensure compliance.
Exercising sound business judgment to achieve proper balance between client retention and CVS Caremark profitability.
Acquiring and maintaining leading-edge knowledge of PBM plan management strategies and solutions.
Participating in external client and consultant meetings.
Providing domain expertise across the full spectrum of financially related efforts aimed at retaining and growing the revenue and profitability on behalf of CVS and the client, including leading client renewals, conducting market check pricing, and identifying and communicating opportunities to increase revenue and profit margins across areas such as plan design, channel, clinical, and other solutions.
Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid, Medicare, Exchanges) to provide relevant recommendations and to influence client adoption of custom and standard solutions.
Cultivating and maintaining relationships with key internal partners within the Division as well as identifying and communicating opportunities to increase revenue and margin at a client-level as well as use data to identify and position opportunities to drive value.
Maintaining overall accountability for implementing and overseeing processes
Collaborating with internal partners to develop products and services that bring to bear CVS Caremark’s enterprise assets, differentiate the firm from its retail/PBM competitors, and attract and retain health plan lives.
Working independently in a fast-paced environment and handling tight deadlines with appropriate level of delegation to team members.
Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve.
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Conduct market and competitive analyses to understand industry trends, client needs, and competitor offerings.
Client relationship management by engaging with the client to understand their specific needs and concerns, building a strong, trust-based relationship and positions the company as a preferred partner.
Leading end to end financial optimization and pricing activities across Caremark’s PBM Health Plan clients ensuring timeliness, accuracy, and consultative value of analytic output.
Performance metrics and reporting by establishing and monitoring key performance indicators (KPIs) related to RFP success rates, turnaround times, and client satisfaction. Provide regular reports and insights to senior management to inform strategic decision-making and drive continuous improvement in the underwriting process.
Communicating with key internal partners such as Sales and Account Management, Trade, Networks, IT and Product Development. The incumbent will work directly with the external clients to develop a deep understanding of their business and goals to assist with creating and supporting products and solutions that align with their strategy.
Developing and maintaining effective working relationships with key internal partners across the enterprise, including executive-level decision makers.
Guiding pricing consultation and strategy in an evolving regulatory environment to ensure compliance.
Exercising sound business judgment to achieve proper balance between client retention and CVS Caremark profitability.
Acquiring and maintaining leading-edge knowledge of PBM plan management strategies and solutions.
Participating in external client and consultant meetings.
Providing domain expertise across the full spectrum of financially related efforts aimed at retaining and growing the revenue and profitability on behalf of CVS and the client, including leading client renewals, conducting market check pricing, and identifying and communicating opportunities to increase revenue and profit margins across areas such as plan design, channel, clinical, and other solutions.
Deep understanding of different lines of business (ex. fully insured, ASO, Medicaid, Medicare, Exchanges) to provide relevant recommendations and to influence client adoption of custom and standard solutions.
Cultivating and maintaining relationships with key internal partners within the Division as well as identifying and communicating opportunities to increase revenue and margin at a client-level as well as use data to identify and position opportunities to drive value.
Maintaining overall accountability for implementing and overseeing processes
Collaborating with internal partners to develop products and services that bring to bear CVS Caremark’s enterprise assets, differentiate the firm from its retail/PBM competitors, and attract and retain health plan lives.
Working independently in a fast-paced environment and handling tight deadlines with appropriate level of delegation to team members.
Supporting CVS Health in attracting, retaining, and engaging a diverse and inclusive consumer-centric workforce that delivers on our purpose and reflects the communities in which we work, live, and serve.
#J-18808-Ljbffr