Medical Economics Advisor Employee

CVS Health

Employee

TELECOMMUTE – Hartford, CT

3/11/23

Job Description

Title:Medical Economics Advisor

Hartford CT US

Job Type (Expected Hours Category): Full Time

Category:Accounting and Finance

Job Type:WFH Flexible

Salary:60300 – 130000 /year

Job Description:

This can be a remote position.

This role will support local market network teams on the implementation and administration of Value Based Contracting (VBC) agreements for our full risk Medicare Advantage partnerships. The right candidate will be responsible for the day-to-day oversight in supporting and administrating a comprehensive support strategy for our most visible full risk Medicare VBC partners.

As part of the Medical Economics Team, you will take ownership and collaborate with internal partners to develop best in class solutions to ensure providers partners have the needed analytic support to drive growth and performance while meeting our contractual commitments. You will lead enhancements projects and project manage process improvements across the enterprise. You will serve as a SME on complex questions and strategy decision and your team will be responsible to guide and train market facing team members as needed.

The larger Medical Economics Team is accountable for analysis of medical costs across lines of business, supporting data for the right pricing and to develop Medical cost savings initiatives. We partner with a wide range of business units across the enterprise including other Medical Economics areas and Contract Negotiators.

Pay Range

The typical pay range for this role is:

Minimum: 60,300

Maximum: 130,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

5 or more years of analytical experience

Preferred Qualifications

Knowledge of managed care and provider reimbursement

Comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies.

Understanding of internal and external database applications.

Knowledge of market-place delivery (understanding of provider relationships)

Skill in:

Advanced analytical skills.

Proficient software and programming skills.

Prior experience in Medicare Advantage products and/or med-cost analytics experience.

Education

Bachelor s Degree or equivalent work experience required.

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides manag…

Insurance , Math & Economics , Medical & Health , Analyst

Hartford, CT