Description
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. *Position Summary* The National Medical Cost Analytics team in the Medical Economics Unit is seeking a Sr. Analyst, Medical Economics professional with the primary role of supporting the Medical Expense Review process for Aetna's Commercial line of business. The position will gain broad exposure to various Aetna Commercial business segments including: Federal Health Employee Benefits Plan (Feds), Private Employer Organization (PEO), Aetna Funding Advantage (AFA), and Individual & Family Plans (IFP). This is an exciting opportunity to leverage medical cost analytics skills and business acumen to serve as a liaison to the segment business leads and stakeholders in actuarial, product, network, finance, etc. to provide actionable insight in response to medical cost drivers. The candidate will work in a fast-paced, dynamic, and rapidly changing environment and gain exposure to many different areas of the company through collaboration and communication of results in the form of standard quarterly reporting and ad hoc requests. This is an analytical position in a very fast paced and dynamic environment with a high performing team and high expectations. This high-performing analyst is responsible for evaluating internal and external medical cost trend and trend drivers and works collaboratively across Finance, Actuarial, and Data Science to determine the financial impact resulting from changes CVS Health and Aetna's medical cost management strategy, pricing position and earnings generation. This position will combine focused analytical research, complex financial modeling, and business decision support related to medical cost actions and medical cost strategy with decision making on pricing and long term, sustainable earnings growth. * This analyst is required to interface with senior leadership, describing detailed and intricate data in a way that can be digested by VPs and above. The role combines a dense subject matter expertise with proficient communication skills. * This analyst will advocate for the effective use of technologies and provides appropriate development to build colleague competence both within and external to MEU * A successful analyst applies technology to improve business processes and compliance (SQL, Python, SAS, VBA, R, and full suite of Microsoft Office products) * This analyst will actively leverage emerging technologies and data including ADAM (*A*etna *D*ate of Service *A*nalytic *M*odel) Cloud and Google Cloud platform * A highly successful analyst will demonstrate the capability to identify and analyze drivers of internal and external medical cost trends and propose scenarios upon which a variety of cost saving actions can be taken * This role will support enterprise strategy by providing Aetna executives with the medical cost trend information needed to make informed decisions *Required Qualifications* * 1-5 years of experience with managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and/or impact on financials (underwriting, sales, product development, network management) * 1-5 years of Technical/programming experience including Excel, MS-Access, SAS/SQL and Web-based query tools (data warehouse) *Preferred Qualifications* * Knowledge of Commercial Fully Insured business segments including FEHBP and level funding * Analytical and problem solving skills * Written and verbal communication skills * Manage conflicting priorities and multiple projects concurrently * Demonstrates initiative, innovation, and leadership in achieving results * Demonstrates critical thinking and expresses ideas clearly, concisely, and logically from a cross functional perspective * Leading change, developing new content to inform and influence business leads and relevant stakeholders * Leverage business acumen to anticipate stakeholders needs to shape content and communication *Education* * Bachelor's Degree in business, finance, or related field required or equivalent experience *Business Overview* At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. *Pay Range* The typical pay range for this role is: $43,700.00 - $107,200.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit [jobs.CVSHealth.com/benefits](https://jobs.cvshealth.com/benefits) We anticipate the application window for this opening will close on: 04/02/2024CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [ColleagueRelations@CVSHealth.com](mailto:ColleagueRelations@CVSHealth.com) If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
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