Senior Analyst, Medical Economics

This is a fully remote position, open to applicants in Texas.

📋 Description

• Execute intricate medical economic projects, which include modeling contract rates.

• Identify and fulfill essential deliverables to achieve business goals.

• Create and implement business initiatives in medical economics, encompassing medical cost strategies, policies/programs, budgets, and analytical frameworks.

• Collaborate with Network Management on analyses of medical costs.

• Evaluate the effectiveness of contracted rates.

• Develop and execute strategies to manage medical expenses informed by analysis and trends.

• Formulate provider reimbursement schedules tailored to specific markets.

• Supervise both standard and ad-hoc reports related to risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting.

• Coordinate rate approvals and devise pricing for complex contractual agreements.

• Formulate and convey tactical and strategic plans that address information requirements across various products, segments, and markets.

⛳️ Requirements

• Over 3 years of demonstrated leadership and/or project management experience.

• More than 3 years of experience in healthcare and/or analysis.

• A Bachelor's Degree or equivalent professional experience is required.

• Familiarity with managed care and provider reimbursement policies.

• Understanding of provider contracts and the regulatory/legislative context that impacts reimbursement strategies.

• Knowledge of both internal and external database applications.

• Insight into marketplace delivery and provider relationships.

• Excellent communication and presentation capabilities.

• Proficient in software and modeling techniques.

• Strong analytical skills and familiarity with advanced financial and healthcare concepts.

• Capacity to manage competing priorities and oversee multiple projects simultaneously.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources promoting physical, emotional, and financial well-being.

• Eligibility for CVS Health bonus, commission, or short-term incentive programs.