
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🕒 August 21
🏄 California, Florida, +4 more states – Remote
💵 $66.3k - $145.9k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👔 Manager
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Develop and deliver decision-support tools and insights for Retail Health leadership • Create and sustain analytics and reporting assets • Extract, analyze, and interpret contracting, utilization, financial, and clinical/quality data from various sources • Support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies • Support value-based care initiatives and other quantitative analysis and reporting requirements • Discover and deploy applicable solutions to address business needs • Serve as a gatekeeper within cross-functional workflows with key internal stakeholders using an external-facing lens • Act as the subject-matter expert for quantitative projects and qualitative workflows • Drive data ingestion, storage and documentation protocols, data pre-screening, proactive risk mitigation, task coordination, and implementation
• 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 Tableau, Power BI, SAS/SQL, and Microsoft Office • Ability to maintain complex financial models for contracting, budgeting, and forecasting activities • Ability to 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 stakeholder relationships and establish and sustain collaborative workstreams • Self-starter demonstrating high agility and capability to pivot work priorities within a dynamic, evolving environment • Master's degree or equivalent experience • Preferred: 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 related field • Experience with large datasets and creating relational databases from multiple sources while ensuring data integrity and interoperability • Advanced financial modeling skills, including scenario planning and sensitivity analysis • Excellent written and oral communication skills • Knowledge of revenue cycle activities including fee schedule configuration and billing, claims submission and processing, and denials and appeals
• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay
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