[Hiring] Manager, Business Analytics @CVS Health

Role Description

To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership. This involves:

• Extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources.
• Supporting nationwide payer contract negotiations, market penetration, conversion, and expansion strategies.
• Engaging in value-based care initiatives and other quantitative analysis & reporting requirements.

These activities require:

• Advanced technical, analytical, and consultative skills.
• Advanced proficiency in using business intelligence tools.
• Extensive knowledge of healthcare business models and healthcare delivery systems.

Responsible for:

• The discovery and deployment of applicable solutions to address business needs.
• Serving as a gatekeeper within cross-functional workflows with key internal stakeholders.
• Acting as the SME for quantitative projects and qualitative workflows.
• Driving data ingestion, storage & documentation protocol, data pre-screening & proactive risk mitigation, and task coordination & implementation.

Qualifications

• 5+ years of experience in healthcare finance, strategy, analytics, economics, or related field.
• Knowledge of healthcare reimbursement methodologies ranging from volume-based (fee-for-service) to value-based (quality performance incentives) arrangements.
• Knowledge of statistical analysis techniques, tools and modeling.
• Advanced proficiency using business intelligence resources such as Tableau, Power BI, SAS/SQL, and Microsoft Office.
• Ability to maintain complex financial models to support contracting, budgeting and forecasting activities.
• Collaborate with cross-functional teams to identify quantitative needs, mitigate risk, and sustain workflow synergy and alignment.
• Proven problem-solving skills, critical and independent thinking, and ability to navigate ambiguity.
• Ability to work optimally in a fast-paced matrixed environment and produce high-quality timely deliverables.
• Ability to build trusting relationships with stakeholders and demonstrate a proven record in establishing and sustaining collaborative workstreams.
• Must be a self-starter demonstrating high agility and capability to pivot work priorities within a dynamic evolving environment.

Requirements

• 6-8 years of experience in healthcare finance, strategy, analytics, economics, or related field (preferred).
• Master's degree in healthcare administration, finance, economics, analytics, or any other related field (preferred).
• Experienced working with large datasets and creating relational databases from multiple sources ensuring data integrity and interoperability (preferred).
• Advanced financial modeling skills including designing and leveraging scenario planning & sensitivity analysis schematics (preferred).
• Excellent communication skills (written and oral) and ability to communicate complex financial and contracting information to internal stakeholders ensuring clarity and understanding (preferred).
• Knowledge of revenue cycle activities such as fee schedule configuration & billing, claims submission & processing, and denials & appeals (preferred).

Education

• Master's degree or equivalent experience (MBA or MHA preferred).

Benefits

• Comprehensive and competitive mix of pay and benefits.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.