Senior Analyst, Medical Economics

CVS Health Careers

. Perform complex medical economic projects, including contract rate modeling .

Posted 11/9/2026full-timeRemote • Texas • United StatesSenior💰 $46,988 - $102,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical economics, including contract rate modeling, provider reimbursement strategies, and healthcare analysis. Proven ability to lead projects, manage budgets, and develop analytical models to optimize medical costs and enhance business objectives.

Highest-signal resume keywords

Medical Economics ExpertiseContract Rate ModelingHealthcare Analysis ExperienceProject Management LeadershipProvider Reimbursement Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract Rate ModelingMedical Cost InitiativesAnalytical ModelingBudget ManagementRisk Assessment AnalysisForecastingData AnalysisFinancial ConceptsHealthcare ConceptsProvider Contracts Comprehension

Soft Skills

Strong Communication SkillsPresentation SkillsAbility to Manage Conflicting PrioritiesProject Management SkillsCollaboration Skills

Tools & Technologies

Database ApplicationsReporting ToolsAnalytical SoftwareHealthcare Management Systems

Industry Keywords

Managed CareProvider Reimbursement PoliciesRegulatory EnvironmentMarketplace DeliveryProvider Relationships

About the role

Key responsibilities & impact

Perform complex medical economic projects, including contract rate modeling
Identify and complete key deliverables to meet business objectives
Develop and implement medical economics business efforts, including medical cost initiatives, policies/programs, budgets, and analytical models
Partner with and consult Network Management on medical cost analysis
Assess the effectiveness of contracted rates
Create and implement plans to manage medical costs based on analysis and trends
Develop market-specific provider reimbursement schedules
Oversee standard and ad-hoc reports for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting
Coordinate rate approvals and develop pricing for complex contractual arrangements
Develop and communicate tactical and strategic plans addressing information needs across products, segments, and markets

Requirements

What you’ll need

3+ years demonstrated leadership and/or project management experience
3+ years of healthcare and/or analysis experience
Bachelor's Degree or equivalent work experience required
Knowledge of managed care and provider reimbursement policies
Comprehension of provider contracts and the regulatory/legislative environment affecting reimbursement strategies
Understanding of internal and external database applications
Knowledge of marketplace delivery and provider relationships
Strong communication and presentation skills
Strong software and modeling skills
Strong analytical ability and familiarity with advanced financial and healthcare concepts
Ability to manage conflicting priorities and multiple projects concurrently

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program eligibility