Senior Manager, Medical Economics

This is a fully remote position, open to applicants in Connecticut, +11 more states.

📋 Description

• Assess medical expenses, quality outcomes, and utilization factors to enhance value-based primary care

• Plan, execute, and oversee healthcare claims-data analyses to discover trends, anomalies, and underlying causes

• Convert intricate datasets into actionable strategies for executive and field leadership

• Create financial models and forecasts pertaining to healthcare costs and utilization

• Anticipate future healthcare spending and project potential savings

• Analyze the financial implications of clinical initiatives and interventions

• Design and sustain reports and dashboards that monitor performance metrics and economic drivers

• Collaborate with Finance, Clinical, and Data Science teams to pinpoint cost-saving opportunities

• Enhance value-based payment models

• Assess the effects of value-based care initiatives on medical costs and quality outcomes, including clinical and financial ROI

• Work alongside Data Engineering to establish long-term data assets and scalable analytics infrastructure

• Ensure that analyses and reporting adhere to regulatory standards and industry norms

⛳️ Requirements

• A minimum of 7 years of experience in quantitative analysis, healthcare analytics, or medical economics within the healthcare or payer sector

• Extensive subject matter expertise in value-based care, population health, and medical claims data (ICD-10, CPT)

• Advanced skills in SQL for intricate data extraction, manipulation, and analysis

• Demonstrated success in leading cross-functional teams and delivering executive-ready insights to C-suite and clinical leadership

• Outstanding problem-solving, decision-making, and project execution abilities

• Familiarity with business intelligence tools such as Tableau or Power BI is preferred

• Experience in value-based care analytics for Medicare Advantage and Traditional Medicare programs is preferred

• Bachelor’s degree in a STEM field, finance, economics, or a related analytical discipline

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program

• Equity award program

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources supporting physical, emotional, and financial well-being