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Senior Analyst, Medical Economics
CVS Health. Perform complex medical economic projects, including contract rate modeling .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in medical economics, including contract rate modeling, provider reimbursement strategies, and financial analysis. Proven ability to lead projects, manage multiple priorities, and communicate effectively across various stakeholders.
Highest-signal resume keywords
Medical EconomicsContract Rate ModelingProvider Reimbursement PoliciesProject ManagementAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Healthcare AnalysisBudgetingAnalytical ModelsRisk AssessmentForecastingFinancial ConceptsDatabase ApplicationsPricing DevelopmentContract ManagementCost Management
Soft Skills
Strong Communication SkillsPresentation SkillsLeadership
Certifications & Qualifications
Bachelor's Degree
Industry Keywords
Managed CareProvider ContractsRegulatory ImpactsMarketplace 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 Network Management to analyze medical costs and assess contracted-rate effectiveness
- 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, budgeting, hospital chargemaster analysis, and forecasting
- Coordinate rate approvals and develop pricing for complex contractual arrangements
- Develop and communicate tactical and strategic plans to satisfy 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 regulatory/legislative impacts on 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- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility