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Pbm Underwriting Analytics Jobs (NOW HIRING)

OneDigital

PBM RFP & Pricing Lead - Remote

Analyze key drivers of cost (ingredient cost, utilization, rebates, clinical programs) and identify risk/opportunity areas * Validate underwriting assumptions and challenge PBM pricing methodologies ...

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Pbm Underwriting Analytics information

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$36K

$67.6K

$112.5K

How much do pbm underwriting analytics jobs pay per year?

As of Jun 12, 2026, the average yearly pay for pbm underwriting analytics in the United States is $67,577.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,500.00 and $75,000.00 per year, depending on experience, location, and employer.

How does a PBM Underwriting Analytics professional typically collaborate with other teams within a pharmacy benefit management organization?

A PBM Underwriting Analytics professional frequently collaborates with underwriting teams, actuaries, pharmacy operations, and sales teams to develop accurate pricing models and risk assessments for pharmacy benefit plans. They analyze large datasets to support the development of competitive bids and ensure compliance with regulatory standards. Regular cross-functional meetings and project-based teamwork are common, allowing analytics professionals to contribute insights that influence plan design, client proposals, and strategic decision-making. This collaborative environment offers exposure to various aspects of PBM operations and can open doors to advancement into leadership, pricing strategy, or broader data analytics roles.

What are the key skills and qualifications needed to thrive as a PBM Underwriting Analytics professional, and why are they important?

To thrive in PBM Underwriting Analytics, you need strong analytical skills, expertise in pharmacy benefit management concepts, and a background in finance, mathematics, or a related field. Familiarity with data analysis tools such as SQL, Excel, SAS, and actuarial software, along with knowledge of healthcare regulations, is typically required. Exceptional attention to detail, strong problem-solving abilities, and effective communication skills set top performers apart in this role. These skills are essential for accurately assessing risk, setting competitive pricing, and ensuring the financial sustainability of PBM contracts.

What type of underwriter gets paid the most?

In underwriting, senior or specialized underwriters such as those in reinsurance, large commercial, or complex risk areas tend to earn higher salaries. Underwriters with advanced certifications, extensive experience, and expertise in niche markets generally receive higher compensation within the field.

What is PBM Underwriting Analytics?

PBM Underwriting Analytics refers to the use of data analysis and predictive modeling to assess financial risks and determine pricing strategies for pharmacy benefit management (PBM) contracts. Professionals in this field analyze pharmacy claims, utilization trends, and population health data to help set premiums, forecast costs, and ensure profitability for health plans or employers. Their insights help PBMs and insurers manage drug benefit costs while maintaining access to necessary medications for members.

What does a PBM underwriter do?

A PBM underwriter evaluates pharmacy benefit management applications to determine coverage terms, risk levels, and pricing. They analyze data, assess provider networks, and ensure compliance with industry regulations, often using specialized software and risk assessment skills.

What jobs pay $2000 a day?

Jobs in high-level underwriting analytics, such as senior PBM Underwriting Analysts or specialized financial roles, can potentially pay $2000 a day, especially for consultants or contractors with extensive experience and advanced skills. These positions often require expertise in data analysis, risk assessment, and industry certifications, and may involve project-based or freelance work with high compensation rates.

What is the difference between Pbm Underwriting Analytics vs Pbm Underwriting?

AspectPbm Underwriting AnalyticsPbm Underwriting
Primary FocusData analysis, risk assessment, and predictive modeling for pharmacy benefit managementEvaluating and approving pharmacy benefit plans, policy underwriting, and risk selection
Required SkillsData analysis, statistical modeling, familiarity with analytics toolsKnowledge of pharmacy benefits, underwriting principles, policy evaluation
Work EnvironmentMostly office-based, working with data teams and underwritersOffice or remote, collaborating with sales, providers, and risk teams
Common Industry UsageUsed in analytics departments to optimize pharmacy benefitsUsed in underwriting departments to assess benefit plans

In summary, Pbm Underwriting Analytics focuses on data-driven risk assessment and predictive modeling within pharmacy benefits, while Pbm Underwriting involves evaluating and approving benefit plans based on risk and policy criteria. Both roles are essential in pharmacy benefit management but serve different functions within the industry.

What does an underwriting analyst do?

An underwriting analyst evaluates insurance applications by analyzing risk factors, financial data, and policy details to determine coverage eligibility and pricing. They use data analysis tools and industry guidelines to support decision-making and ensure accurate risk assessment. The role often requires strong analytical skills and knowledge of underwriting standards.
Infographic showing various Pbm Underwriting Analytics job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Hybrid job distribution, with an average salary of $67,577 per year, or $32.5 per hour.
PBM Underwriting - Senior Analyst

PBM Underwriting - Senior Analyst

CVS Health

Scottsdale, AZ

$46K - $102K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,237 frontline employees who took The Breakroom Quiz

78th of 99 rated pharmacies

Job description

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 ourselvesaccountable 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.

POSITION SUMMARY:

Would you like to join CVS Health, a Fortune 5 company, on our multifaceted Pharmacy Benefits Management (PBM) Underwriting team? In this high-level individual contributor role, you will utilize your business, industry, competitive, client, and technical knowledge to formulate pricing strategy and to execute financial modeling of comprehensive pricing offers that include retail network, mail order, specialty, and pharmaceutical manufacturer rebates for PBM client contracts.

Some of your key responsibilities will include:

- Collaborating with PBM Sales and Account Services to provide recommendations on pricing and negotiation strategy to achieve revenue and profitability targets for new business growth and margin retention; and

- Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) statements; and

- Presenting financial analyses to Executive Leadership during Executive Underwriting Approval Calls and responding to financial questions in real-time; and

- Supporting Underwriting Managers and Sr. Managers with ad-hoc financial analyses and client implementation projects.

Your success will be determined by your ability to communicate client pricing to internal and external partners in support of accurate pricing implementation and to minimize service warranties and performance guarantee payouts. You will need to execute and implement constantly evolving pricing strategies in response to market dynamics to provide competitive, profitable, and attractive pricing offers. You will have a measurable impact in this role, by helping CVS Health, and our clients win, in a competitive marketplace.

REQUIRED QUALIFICATIONS:

- 3 or more years' financial analysis, pricing, or corporate underwriting experience required

- Proficient in Microsoft Excel in complex data analysis

PREFERRED QUALIFICATIONS:

- Basic knowledge of PBM finance
- Experience managing complex projects over 3-12 months in a matrix environment
- Ability to interact with others in a professional manner and help foster teamwork and knowledge sharing to complete key tasks
- Advanced Excel modelling
- Strong organizational, multi-tasking, and follow up skills.
- Strong presentation and communication skills with experience presenting to various business groups

EDUCATION:

- Bachelor's Degree required, preferably in Finance, Mathematics, Economics, or related field; or equivalent work experience may be considered

- Master's Degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 06/11/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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