Analyst, Medical Economics
Job title: Analyst, Medical Economics in Hartford, CT at CVS Health
Company: CVS Health
Job description: 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 SummaryIt’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health.As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare analytic exhibits and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients.Possible remote opportunity.You will also:
Analyze and research utilization and unit cost medical costs drivers.
Turn data into usable information by telling the story through data visualization.
Support the development of scoreable action items by identifying outlier cost issues.
Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends.
Own, track, and document all aspects of related work from beginning to end of a project.
Work with Excel, Power Point, Power BI, and Web-based query tools (data warehouse).
Required Qualifications
6+ months of experience in analytics or finance or equivalent experience.
Preferred Qualifications
Experience in within the healthcare industry.
Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management).
Experience working with medical and pharmacy claims.
Education
Bachelor's degree preferred.
Anticipated Weekly Hours 40Time Type Full timePay RangeThe typical pay range for this role is:$43,888.00 - $93,574.00This 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 peopleWe 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:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.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, visitWe anticipate the application window for this opening will close on: 05/26/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Expected salary: $43888 - 93574 per year
Location: Hartford, CT
Apply for the job now!
Apply Now
Company: CVS Health
Job description: 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 SummaryIt’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune 5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health.As a Medical Economics Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects. As part of the Medical Expense Review (MER) team, you will prepare analytic exhibits and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients.Possible remote opportunity.You will also:
Analyze and research utilization and unit cost medical costs drivers.
Turn data into usable information by telling the story through data visualization.
Support the development of scoreable action items by identifying outlier cost issues.
Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends.
Own, track, and document all aspects of related work from beginning to end of a project.
Work with Excel, Power Point, Power BI, and Web-based query tools (data warehouse).
Required Qualifications
6+ months of experience in analytics or finance or equivalent experience.
Preferred Qualifications
Experience in within the healthcare industry.
Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management).
Experience working with medical and pharmacy claims.
Education
Bachelor's degree preferred.
Anticipated Weekly Hours 40Time Type Full timePay RangeThe typical pay range for this role is:$43,888.00 - $93,574.00This 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 peopleWe 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:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.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, visitWe anticipate the application window for this opening will close on: 05/26/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Expected salary: $43888 - 93574 per year
Location: Hartford, CT
Apply for the job now!
Apply Now