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Senior Manager – Reimbursement Strategy & Analytics

Senior Manager – Reimbursement Strategy & Analytics

CompanyCVS Health
LocationSmithfield, RI, USA
Salary$82940 – $182549
TypeFull-Time
Degrees
Experience LevelSenior

Requirements

  • 5+ years work experience in health care, finance, business analytics or related quantitative problem solving
  • Strong analytical skillset and approach to problem solving
  • Experience turning data into actionable insights
  • Strong communication skills and ability to drive recommendations to leadership through impactful, insightful analytical-based presentations
  • Ability to become trusted advisor to cross-functional business partners
  • Ability to focus on long-term, strategic goals while executing against short-term objectives
  • Ability to identify potential risks and subsequent mitigation strategies when developing recommendations
  • Ability to develop a deep understanding of the industry

Responsibilities

  • Assist in development of next-generation CostVantage pro forma model to align to financials from Finance and give all the needed outputs to support Payer Relations team
  • Develop new benchmarking techniques and dashboards
  • Partner cross-functionally with Finance and data warehouse teams to enhance processes for integrating drug pricing data
  • Oversee and support modeling new pricing models across all lines of business
  • Liaison with Payer Relations Team to incorporate emerging business needs into process and modeling
  • Develop complex deal models and underwriting in collaboration with Payer Relations team to support contracting negotiations for >100 payers and Pharmacy Benefits Managers
  • Apply strong analytical skills and business acumen to benchmark deal projections and analyze performance over time
  • Communicate recommendations, summaries, and nuances of analysis to senior leadership
  • Support broader finance, product development, operations, and supply chain organizations with payer finance knowledge and ad hoc analytical insight and recommendations
  • Assess financial impact of proposals from across the Retail and PBM organizations
  • Collaborate with Director and broader team to lead the change from legacy reporting and analytics tools to consolidated financial infrastructure in order to support collaboration and automation
  • Evaluate existing reports and drive improvement for metrics and communication.

Preferred Qualifications

  • 5-8 years in health care finance/analytics