Senior Analyst, Medical Economics

Job not on LinkedIn

🔥 16 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $47k - $102k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

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.

📋 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 Network Management to analyze medical costs and assess contracted-rate effectiveness • 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, budgeting, hospital chargemaster analysis, and forecasting • Coordinate rate approvals and develop pricing for complex contractual arrangements • Develop and communicate tactical and strategic plans to satisfy 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 regulatory/legislative impacts on 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

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility