At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
As a Medical Economics Analyst you will support local market network teams on implementation and administration of Value Based Contracting (VBC) agreements. The Medical Economics Analyst is essential for ensuring proactive tracking and facilitating of meeting VBC agreement incentive payment commitments throughout the contract life cycle. The Medical Economics Analyst position is responsible for working with scorecards and reconciliation payment requests and reporting as needed to support increasingly complex requirements to support the incentive payments on these deals.
As part of the Value Based Team, you will take ownership of your portfolio of markets and deals, working collaboratively with negotiators and Network managers as well as Value Based partners to ensure we meet our contractual commitments, administer incentive payments and assist in pre-deal evaluation and make recommendations. You will participate in enhancement projects and process improvements. The larger Value Based Team is accountable for analysis of Value based arrangements across lines of business, supporting data for the right pricing and to support our provider partners to achieve improved outcomes for our members. We partner with a wide range of business units across the enterprise including other Finance areas and Contract Negotiators.
Required Qualifications
1+ more years of Excel experience in professional and/or academic setting
Preferred Qualifications
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Experience in the managed care industry with exposure to value-based contracting
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Experience with financial analysis and/or administrative claims data
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Ability to communicate effectively with a diverse audience
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Ability to work in a fast-paced environment and meet tight deadlines
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Strong analytical, critical thinking, problem solving and communication skills
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Possess analytical and problem resolution skills
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Ability to communicate effectively with a
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Resourceful and quickly and successfully adapt to change
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Working knowledge of SQL and relational databases
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Exposure to SAS or other web-query based programs
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Advanced skills in Microsoft Office Products (Excel, PowerPoint, Access)
Education
Bachelor's degree or equivalent work experience required
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$43,888.00 - $93,574.00
This 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/27/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.