Manager – Medical Economics
| Company | CVS Health |
|---|---|
| Location | Chicago, IL, USA, Ambler, PA, USA, Hartford, CT, USA, Atlanta, GA, USA |
| Salary | $60300 – $145860 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Mid Level, Senior |
Requirements
- 3+ years of experience with model development
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Ability to pull data using SAS, SQL or Google Cloud
- Adept at business intelligence
- Adept at collaboration and teamwork
- Problem solving and decision-making skills
- Growth mindset (agility and developing yourself and others) skills
- Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias
Responsibilities
- Conducts in-depth analysis of healthcare economic data to identify cost drivers, trends, and patterns to progress cost management strategies.
- Develops financial models and forecasts related to healthcare costs and utilization, for senior management review and presentation.
- Projects future costs, estimates savings opportunities and evaluates the financial impact of different reimbursement methodologies, initiatives and interventions.
- Collaborates with cross-functional teams to identify cost-saving opportunities, evaluate alternative payment models, optimize network and provider contracts, and implement core economic strategies.
- Assists with workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Leverages reporting/data to monitor contract performance against financial targets
- Identifies areas where improvements need to be made
Preferred Qualifications
- Experience in capitation analytics
- Experience in Medicaid or Medicare
- Experience in Risk-Based Arrangements and Value-Based Care financial models