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-Analyze complex types of fee-for-service provider contracts and present results against budgets and benchmarks, perform medical cost analysis and produce complex ad hoc reports to satisfy information needs across products/segments and markets.-Utilize, maintain and develop pricing models and medical cost tracking tools (e.g. pModel)-Provide complex and detailed analysis and support for planning and forecasting of medical costs including the development of gross medical trend estimates.-Provide consultative support to network managers with legitimacy testing of rate proposals.-Work cross-functionally within the region and support achievement of regional operating plan targets.-2 or more years of experience in healthcare industry and/or analytics-Demonstrates initiative, innovation and leadership in achieving results-Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective.-Ability to manage conflicting priorities and multiple projects concurrently.Qualifications:-3 years experience as a project manager or similar role-must be located in the USPreferred Qualifications-Knowledge of provider contracting, provider reimbursement, patient management, product and benefits design-Strong analytical ability and familiarity with advanced financial and healthcare conceptsEducationBachelor’s Degree in Business, Finance, Mathematics or related field preferred or 2 to 4 years equivalent work experience in the healthcare industryCPA NOT a RequirementRole Specifics:This is a remote role for anywhere in the USAWe are not able to support visa sponsorship at this timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This 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 Benefits | CVS HealthWe anticipate the application window for this opening will close on: 02/24/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
