[Hiring] Senior Analyst, Medical Economics @CVS Health

Role Description

It’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health.

As a Medical Economics Sr Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients.

You will also:

• Analyze and research utilization and unit cost medical costs drivers
• Turn data into usable information by telling the story through data visualization
• Support the development of scoreable action items by identifying outlier cost issues
• Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends
• Own, track, and document all aspects of related work from beginning to end of a project
• Work with Excel, MS-Access, Power BI, and Web-based query tools (data warehouse)

Qualifications

• 3+ years of experience in analytics or finance or equivalent experience.

Requirements

• Experience in within the healthcare industry
• Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management)
• Experience working with medical and pharmacy claims

Education

• Bachelor's degree or equivalent work experience required.

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