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Vice President, CFO, PBM Underwriting & Analytics

Job in Woonsocket, Providence County, Rhode Island, 02895, USA
Listing for: CVS Health
Full Time position
Listed on 2026-02-21
Job specializations:
  • Finance & Banking
    Financial Manager, Risk Manager/Analyst, CFO, VP/Director of Finance
Salary/Wage Range or Industry Benchmark: 125000 - 150000 USD Yearly USD 125000.00 150000.00 YEAR
Job Description & How to Apply Below
Position: Vice President, CFO, PBM Underwriting &  Analytics

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.

Vice President, Head of Underwriting for Caremark’s Health Plan Segment
.

Key Responsibilities Leadership and Strategy
  • Lead and manage an organization of approximately 90 colleagues across underwriting, client pricing, RFP pricing, analytics, and client profitability management.
  • Establish and execute the underwriting and client profitability strategy aligned to enterprise objectives and segment financial targets.
  • Drive a culture of financial accountability, disciplined decision‑making, collaboration, and continuous improvement.
  • Partner with senior leadership to define and monitor KPIs that measure pricing effectiveness, profitability, and long‑term client value.
Underwriting, Pricing, and RFP Management
  • Oversee the end‑to‑end underwriting and pricing process for PBM health plan clients, including 250+ pricing events annually across new business, renewals, and mid‑term actions.
  • Maintain direct accountability for RFP pricing strategy and execution, ensuring competitive, accurate, and profitable pricing outcomes.
  • Ensure alignment across pricing offers, negotiations, and contracting with a clear focus on financial risk management and margin protection.
  • Continuously review and refine underwriting and pricing processes to improve accuracy, efficiency, and scalability.
  • Monitor market trends, competitor dynamics, and regulatory developments to inform underwriting and pricing strategy.
  • Interact extensively with executive leadership to align on pricing positions, concessions, and overall underwriting approach.
Client Profitability and Financial Management
  • Own responsibility for achieving segment‑level revenue and margin objectives through disciplined underwriting and active management of client economics.
  • Develop and execute multi‑year financial plans to optimize near‑ and long‑term performance.
  • Make informed decisions that balance client retention, growth opportunities, and profitability.
  • Ensure strong linkage between underwriting assumptions, pricing decisions, and realized financial performance over time.
Analytics and Financial Insight
  • Drive delivery of advanced analytics and consultative insights to support client financial performance and pharmacy trend management.
  • Leverage data to identify financial risks, opportunities, and emerging trends at both the client and segment level.
  • Translate complex financial and utilization data into clear, actionable insights for internal leaders, clients, and consultants.
  • Partner with IT and data science teams to enhance analytical tools, financial models, and data infrastructure.
Client and Stakeholder Engagement
  • Serve as a senior leader engaging directly with health plan clients, participating in financial deep dives when detailed discussion of pricing, profitability, or performance is required.
  • Build and maintain strong relationships with external stakeholders, including clients and consultants, serving as a trusted underwriting and financial expert.
  • Build strong internal partnerships across Client Services, Sales, Proposals, Supply Chain, Legal, Regulatory, Finance, Clinical, and Product teams.
  • Act as a subject matter expert on PBM underwriting and client profitability, representing the organization externally as appropriate.
Team Development
  • Mentor and develop leaders.
  • Foster a culture of continuous learning, high engagement, and performance in a fast‑paced, high‑stress, high‑visibility environment.
  • Make talent development and succession planning a priority to maintain an industry‑leading organization.
Qualifications
  • Approximately 15 years of healthcare experience, with deep PBM expertise, including client pricing and underwriting.
  • Demonstrated success owning client‑level financial outcomes, including profitability, margin performance, or equivalent…
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