Business Financials - Manager

CVS Health, US

Work at CVS Health


Job DescriptionThe Specialty Guarantee Operations Manager will review 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 Industry Analytics, to review contract terms and provide recommendations for pricing strategy.- Perform monthly data pulls for specialty guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization. - Review contract terms, coupled with financial results to provide recommendations to legal, underwriting and the account teams for more favorable contract terms.- 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 actual results in an effort to provide future recommendations to senior leadership.- Maintenance of data that feeds guarantees application, including but not limited to client guarantee data, claims data and drug lists.- Preparing and/or overseeing generation of financial and audit backup reporting as required, ensuring quality and timely outputs.- Development of operational metric reporting and resource forecasting.The successful candidate will have extensive 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, Sales/Account Management, Finance, Accounting, Audit, Industry Analytics and Legal.Pay RangeThe typical pay range for this role is:Minimum: 60,300Maximum: 126,600Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- 5 years pricing, financial or data analysis experience required- Experience with creating financial models and working with large data sets and in a database environment.COVID RequirementsCOVID-19 Vaccination RequirementCVS 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.Preferred Qualifications- 2+ years' experience with PBM or Specialty Pharmacy- Knowledge of health insurance, managed care, or pharmaceutical industry preferred- Analytical expertise and experience, SAS, SQL, Access, and Excel.- Masters preferredEducationBachelor's Degree required or relevant work experience may be considered.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.PDN-96fc266a-12d1-48ba-b483-a150866ef193