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Manager – Reimbursement Strategy & Analytics
Company | CVS Health |
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Location | Smithfield, RI, USA |
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Salary | $66330 – $145860 |
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Type | Full-Time |
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Degrees | |
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Experience Level | Mid Level, Senior |
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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