Senior Medical Economics Analyst

Job DescriptionRetrieves, organizes and performs analysis on data, is actively involved in decision making process to provide results against plan objectives.Specifically, serves as project manager and/or participant on selected project(s). Projects primarily include the following: - Analyze complex types of fee-for-service provider contracts and present results against budgets and benchmarks, perform variance analysis and produce complex ad hoc reports to satisfy information needs across products/segments and markets. - Utilize, maintain and develop pricing models and medical cost tracking tools (eg.PMODEL). Provide complex and detailed analysis and support for planning and forecasting of medical costs including the development of gross medical trend estimates.- Provide consultative support to network managers with legitimacy testing of rate proposals. Work cross-functionally within the region and supports achievement of regional operating plan targets.Required Qualifications- 3 or more years healthcare and/or finance experience.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Advanced skills in Excel, MS-Access and Web-based query tools (MCM, data warehouse). Ability to learn new technologies. - Strong analytical ability and familiarity with advanced financial and healthcare concepts. - Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective. - Ability to manage conflicting priorities and multiple projects concurrently. - Demonstrates initiative, innovation and leadership in achieving results.EducationBachelor's degree or equivalent work experience required.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.

Created: 2025-11-15