CVS Health

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Underwriting Consultant - Pharmacy

at CVS Health

Posted: 11/11/2020
Job Reference #: 73624BR

Job Description

Job Description
Performs underwriting analysis and risk assessment for new and/or renewal of large group contracts and accountings. Assigned cases/book of business include multiple product types, funding arrangements and/or rating methodologies.

Fundamental Components
  • Prepares and delivers moderately complex new business quotes, existing business renewals and/or accountings.
  • Complexity of work increases as technical skills progress. Independently reviews work for accuracy and recommends pricing and/or accounting alternatives based on financial analysis, underwriting principals, and business strategy.
  • Anticipates questions and formulate responses.
  • Utilizes advanced functionality of underwriting tools, systems, and reference materials to produce accurate quotes, renewals and/or accountings.
  • Applies underwriting guidelines and grants underwriting exceptions/financial variances for their assigned cases within the authority limit for the position.
  • Independently assists sales personnel in explaining rate/fee, accounting balance development and communicating underwriting policy.
  • May present information to employers, brokers and consultants.
  • Produces timely and accurate customer specific documents, deliverables and accounting related information.
  • Ensures the pricing supports the quote/renewal strategy.
  • Assists department with projects or workgroups. Identifies and supports process improvement through automation or process change.
  • Conducts audits on premiums, fees and claim wires to ensure all receivables are accurate and accounted for.
  • Tracks and approves customer allowances or MBE/WBE goals using compliance guidelines.
  • Assists less experienced underwriters in development of technical skills or specific subject matter.

Background Experience
  • Experience working with standard Microsoft Office product.
  • Demonstrated success in collaborating with others to meet/exceed expectations.
  • Demonstrated ability to utilize analytical and independent thinking skills.
  • Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment.
  • 3-5 years’ experience in underwriting/accounting concepts, pricing methodologies and funding arrangements.
  • Experience providing clear and concise written and verbal communications.
  • Bachelor's degree or equivalent experience.

High School diploma, G.E.D. or equivalent experience

Percent of Travel Required
0 - 10%

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!