Note: The job is a remote job and is open to candidates in USA. CVS Health is working to simplify health care and create a more connected, convenient, and compassionate health experience. The Manager, Business Analytics will develop decision-support tools and insights for Retail Health leadership by analyzing contracting, utilization, financial, and clinical data. The role supports payer contract negotiations, market strategies, value-based care initiatives, and cross-functional quantitative projects.
Responsibilities
- 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
- 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
Skills
- 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
- 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
- Master's degree or equivalent experience (MBA or MHA preferred)
Benefits
- This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
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