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Pennsylvania, United States
Hybrid
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team’s ability to craft a compelling story and become trusted advisors by turning a customer’s data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for MaineHealth, a dedicated Healthcare Business Solution customer. The successful candidate is one adept at using data from various sources to understand a customer’s health plan performance, how programs and strategies have influenced that performance, and ultimately partner with the Account Teams in providing solutions and strategies to customers in a consultative manner.
The Senior Manager Analytic Consultant will:
Provide day-to-day oversight of customer-facing, analytics work and correspondence. Set priorities for that work, ensuring that appropriate resources are aligned to the needs of our field partners and their customers.
Effectively collaborate with field leaders, making certain to understand their business retention and growth objectives and how the work of the AC can best support those objectives.
Provide proactive trend advising and cost mitigation strategies.
As needed, work directly with the customer in a strategic advisory role. Work closely with Plan Sponsor reporting routine reporting partners to advise on the most recent trends and necessary updates.
Work closely with Clinical Program Consultant to provide fluid, combined financial and clinical, reporting, and trusted advising.
*The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location. East Coast preferred.
Required Qualifications
Business/Industry Knowledge: Minimum of 5-8 years of healthcare industry experience interpreting/analyzing all aspects of a customer’s experience (financial results, medical management results, population health, effectiveness of incentive/wellness strategies, etc.). Experience must include using data across the spectrum of a customer’s products/results to tell the ‘story’, connecting the dots between various strategies and results and ultimately identify, value, and communicate areas of opportunity.
Strong understanding of Medical Economics concepts like: Value Based Care arrangements, monitoring/mitigating medical costs, basic provider/network concepts, partnering with PSL on operational claim research.
Relationship management: Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously in client facing role.
Strategic Thinking: Must have demonstrated ability to think strategically in an independent manner and ‘out of the box’ versus accepting the status quo.
Technical Skills: Strong technical skills in all Microsoft Office Applications is required with advanced proficiency in Excel preferred. Experience with reporting/analytic applications is preferred with knowledge of SQL / SAS / GCP programming is a plus.
Project Management: Must possess the ability to manage multiple projects at one time and be able to work cross functionally within the organization to achieve goals.
Strong communication skills. Able to articulate (verbally and written) complex business results, issues, and strategies in a clear, concise, and confident manner to all levels and positions of an organization (internal and external).
Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen.
Education
Bachelor's degree/specialized training/relevant professional qualification
Pay Range
The typical pay range for this role is:
$67,900.00 - $182,549.00
This 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. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
