Senior Manager, Medical Economics

Job not on LinkedIn

🔥 4 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $82.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 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

• Analyze medical costs, quality outcomes, and utilization drivers to support value-based primary care • Plan, conduct, and lead healthcare claims data analyses to identify root causes of trends and anomalies • Translate complex datasets into actionable strategies for executive and field leadership • Develop financial models and forecasts related to healthcare costs and utilization • Project future healthcare expenditures and estimate potential savings • Evaluate the financial impact of clinical initiatives and interventions • Design and maintain reports and dashboards monitoring key performance metrics and economic drivers • Collaborate with Finance, Clinical, and Data Science teams to identify cost-saving opportunities • Optimize value-based payment models • Evaluate value-based care initiatives' impact on medical costs, quality outcomes, and clinical and financial ROI • Partner with Data Engineering to develop long-term data assets and infrastructure for scalable advanced analytics • Ensure analyses and reporting comply with regulatory requirements and industry standards

🎯 Requirements

• 7 years of experience in quantitative analysis, healthcare analytics, or medical economics within the healthcare or payer industry • Deep subject matter expertise in value-based care, population health, and medical claims data (ICD-10, CPT) • Advanced proficiency in SQL for complex data extraction, manipulation, and analysis • Proven track record of leading cross-functional teams and presenting executive-ready insights to C-suite and clinical leadership • Exceptional problem-solving, decision-making, and project execution skills • Proficiency with business intelligence tools such as Tableau or Power BI preferred • Experience in value-based care analytics for Medicare Advantage and Traditional Medicare programs (e.g., ACO REACH, MSSP) preferred • Bachelor's degree in a STEM field, finance, economics, or a related analytical discipline

🏖️ 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 • Equity award program

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