Pricing Operations Manager

Job DescriptionAs the Pricing Operations Manager you will be responsible for maintenance and update of data used by the Pricing Operations team to manage guarantees, as well as regulatory and operational reporting. Operational reporting responsibilities will include the volumes, turnaround time, quality, and forecast of all work performed by the pricing operations teams. You will also review guarantee performance, prepare financial reporting, and provide audit backup reporting per contractual requirements for an assigned client list as required to meet contractual requirements. Primary responsibilities include: - Maintaining data that feeds guarantees application, including but not limited to client guarantee data, claims data and drug lists- Gathering required data for providing annual Medicaid DIR reporting for clients as applicable- Developing operational metric reporting and resource forecasting for the Pricing Operations team- Performing monthly data pulls for assigned clients to ensure achievement of contractual guarantees, providing performance and audit reporting as requiredThe 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, Legal, and Enterprise Analytics.Required Qualifications 5 years pricing, financial or data analysis experience requiredCOVID 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 PBM Experience Knowledge of health insurance, managed care, or pharmaceutical industry preferred Analytical expertise and experience, SAS, SQL, Access, and ExcelEducation Bachelor's Degree required Masters preferred Equivalent combination of education and experience may be consideredBusiness 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.

Created: 2025-11-01