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Manager – Reimbursement Strategy & Analytics

Manager – Reimbursement Strategy & Analytics

CompanyCVS Health
LocationSmithfield, RI, USA
Salary$66330 – $145860
TypeFull-Time
Degrees
Experience LevelMid Level, Senior

Requirements

  • 3-5 years work experience in health care, finance, business analytics or related quantitative problem solving
  • Strong analytical skillset and approach to problem solving
  • 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
  • Identify potential risks and subsequent mitigation strategies when developing recommendations
  • Develop a deep understanding of the industry
  • 1-2 years SQL experience

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 in 2025
  • Liaison with Payer Relations Team to incorporate emerging business needs into process and modeling
  • Key player in developing Med D Strategy and modeling implementation
  • Develop complex deal models and underwriting in collaboration with Payer Relations team to support contracting negotiations for >100 payers and Pharmacy Benefits Managers
  • Implement technical and personnel processes required to transition to CostVantage model, including working with business and IT stakeholders
  • Support reporting for vaccine financials, setting cash prices, and other reimbursement processes
  • 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

Preferred Qualifications

  • 2-4 years in health care