Medical Economics Analyst

About the Role

This role is part of the Medical Economics team at CVS Health, a growing team within a Fortune 5 company.

Key Responsibilities

• Provide consultative support and medical cost-based analysis of markets and network initiatives.
• Consult with network and clinical management on opportunities to improve the company’s discount position and strategic cost and utilization initiatives.
• Prepare for monthly presentations as part of the Medical Expense Review (MER) team.
• Manage both long and short-term projects, working collaboratively with local market leaders.
• Analyze and research utilization and unit cost medical costs drivers.
• Turn data into usable information by telling the story through data visualization.
• Support the development of scoreable action items by identifying outlier cost issues.
• Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends.
• Own, track, and document all aspects of related work from beginning to end of a project.
• Work with Excel, MS-Access, Power BI, and Web-based query tools (data warehouse).

Requirements & Tech Stack

• 6+ months of experience in analytics or finance, including internships.
• Proficiency with Excel, MS-Access, Power BI, and Web-based query tools.

Qualifications

• High School Diploma / GED required.
• Bachelor's Degree preferred.
• Experience in the healthcare industry (preferred).
• Experience with key managed care functions including provider contracting, benefit design, medical management (preferred).
• Knowledge of business functions and impact on financials (underwriting, sales, product development, network management) (preferred).
• Experience working with medical and pharmacy claims (preferred).