Senior Analyst, Medical Economics

CVS Health

. Provide consultative support and medical cost-based analysis of markets and network initiatives .

Posted 9/21/2026full-timeRemote • Massachusetts • United StatesSenior💰 $46,988 - $112,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in medical cost analysis and analytics within the healthcare industry, leveraging data visualization and project management skills to drive strategic initiatives and improve financial outcomes.

Highest-signal resume keywords

Medical Cost AnalysisData VisualizationManaged Care FunctionsProject ManagementHealthcare Industry Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

AnalyticsFinancial AnalysisUtilization AnalysisCost Driver AnalysisExcelMS-AccessPower BIWeb-Based Query ToolsMedical Claims AnalysisPharmacy Claims Analysis

Soft Skills

Consultative SupportCollaborationPrioritizationCommunication

Industry Keywords

HealthcareProvider ContractingBenefit DesignMedical ManagementNetwork Management

About the role

Key responsibilities & impact

Provide consultative support and medical cost-based analysis of markets and network initiatives
Consult with network and clinical management on opportunities to improve discount position and strategic cost and utilization initiatives
Prepare for monthly presentations as part of the Medical Expense Review team
Manage long- and short-term projects collaboratively with local market leaders
Analyze and research utilization and unit-cost medical cost drivers
Turn data into usable information through data visualization
Support development of scoreable action items by identifying outlier cost issues
Perform drill-down analysis to identify medical cost trend drivers
Advise the network on contracting opportunities to mitigate future trends
Own, track, and document related work from project beginning to end

Requirements

What you’ll need

3+ years of experience in analytics or finance or equivalent experience
Bachelor's degree or equivalent work experience required
Experience within the healthcare industry
Experience with managed care functions including provider contracting, benefit design, and medical management
Knowledge of business functions and their impact on financials, including underwriting, sales, product development, and network management
Experience working with medical and pharmacy claims
Experience with Excel, MS-Access, Power BI, and web-based query tools/data warehouse
Ability to manage conflicting priorities and multiple projects
Ability to work 40 hours per week

Benefits

Comp & perks

Flexible work location
Work-life balance
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 in addition to base pay