Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Tailor your resume to this Sr Analyst, Medical Economics role.
Rezi rewrites your resume against CVS Health's job description. Free.
Tailor your resume to this Sr Analyst, Medical Economics role.
Rezi rewrites your resume against CVS Health's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the Sr Analyst, Medical Economics posting at CVS Health — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the Sr Analyst, Medical Economics posting at CVS Health — free, in seconds.
About the Role
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.
Responsibilities
- Performs complex medical economic projects, such as contract rate modeling.
- Identifies and completes key deliverables to ensure all business objectives are met.
- Develops and implements key medical economics business efforts, including medical cost initiatives, policies/programs, budget, and analytical models.
- Partners and consults with Network Management to provide medical cost analysis, assessing the effectiveness of contracted rates and creating/implementing plans to manage medical costs based on analysis or trends.
- Develops market-specific provider reimbursement schedules.
- Oversees the production of standard and ad-hoc reports for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting.
- Coordinates rate approvals and develops pricing for complex contractual arrangements.
- Develops and communicates tactical and strategic plans to satisfy information needs across products, segments, and markets to a broad audience.
Requirements
- 3+ years of demonstrated leadership and/or project management experience.
- 3+ years of healthcare and/or analysis experience.
- Knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.
- Comprehension of provider contracts and the potential impact of the regulatory/legislative environment on reimbursement strategies.
- Understanding of internal and external database applications.
- Knowledge of market-place delivery, including an understanding of 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.
Skills
- Communication
- Presentation
- Software modeling
- Analytical ability
- Financial concepts
- Healthcare concepts
- Project management
- Leadership
Work Type
- Full time
Education Level
- Bachelor's Degree or equivalent work experience
Salary/Compensations
- $46,988.00 - $102,000.00
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
About the Company
- 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.
Equal Opportunity
- Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.