We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership. This involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. These activities require advanced technical, analytical, and consultative skills, advanced proficiency in using business intelligence tools, and extensive knowledge of healthcare business models and healthcare delivery systems. Responsible for the discovery and deployment of applicable solutions to address business needs and serving as a gatekeeper within cross-functional workflows with key internal stakeholders operating via an external-facing lens. Act as the SME for quantitative projects and qualitative workflows by driving data ingestion, storage & documentation protocol, data pre-screening & proactive risk mitigation, and task coordination & implementation.
Required Qualifications
- 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 business intelligence resources such as Tableau, Power BI, SAS/SQL, and Microsoft Office.
- Ability to maintain complex financial models to support contracting, budgeting and forecasting activities
- Collaborate with cross-functional teams to identify quantitative needs, mitigate risk, and 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 relationships with stakeholders and demonstrate a proven record in establishing and sustaining collaborative workstreams.
- Must be a self-starter demonstrating high agility and capability to pivot work priorities within a dynamic evolving environment.
Preferred Qualifications
- 6-8 years of experience in healthcare finance, strategy, analytics, economics, or related field
- Master's degree in healthcare administration, finance, economics, analytics, or any other related field
- Experienced working with large datasets and creating relational databases from multiple sources ensuring data integrity and interoperability
- Advanced financial modeling skills including designing and leveraging scenario planning & sensitivity analysis schematics
- Excellent communication skills (written and oral) and ability to communicate complex financial and contracting information to internal stakeholders ensuring clarity and understanding
- Knowledge of revenue cycle activities such as fee schedule configuration & billing, claims submission & processing, and denials & appeals
Education
Master's degree or equivalent experience (MBA or MHA preferred)
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,330.00 - $145,860.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 5+ years of experience in healthcare finance, strategy, analytics, economics, or related field
- Knowledge of healthcare reimbursement methodologies
- Advanced proficiency using business intelligence resources such as Tableau, Power BI, SAS/SQL, and Microsoft Office
- Proven problem-solving skills and ability to navigate ambiguity
- Ability to build trusting relationships with stakeholders
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
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Retirement Support — Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
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Pay Growth & Progression — A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
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