Senior Analyst, Medical Economics

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🔥 3 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $47k - $102k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Perform complex medical economic projects, including contract rate modeling • Identify and complete key deliverables to meet business objectives • Develop and implement medical economics business efforts, including medical cost initiatives, policies/programs, budgets, and analytical models • Partner with and consult Network Management on medical cost analysis • Assess the effectiveness of contracted rates • Create and implement plans to manage medical costs based on analysis and trends • Develop market-specific provider reimbursement schedules • Oversee standard and ad-hoc reports for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting • Coordinate rate approvals and develop pricing for complex contractual arrangements • Develop and communicate tactical and strategic plans addressing information needs across products, segments, and markets

🎯 Requirements

• 3+ years demonstrated leadership and/or project management experience • 3+ years of healthcare and/or analysis experience • Bachelor's Degree or equivalent work experience required • Knowledge of managed care and provider reimbursement policies • Comprehension of provider contracts and the regulatory/legislative environment affecting reimbursement strategies • Understanding of internal and external database applications • Knowledge of marketplace delivery and provider relationships • Strong communication and presentation skills • Strong software and modeling skills • Strong analytical ability and familiarity with advanced financial and healthcare concepts • Ability to manage conflicting priorities and multiple projects concurrently

🏖️ Benefits

• 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 eligibility

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