Manager, Business Analytics

Role Description

To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership. This involves:

• Extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources.
• Supporting nationwide payer contract negotiations, market penetration, conversion, and expansion strategies.
• Engaging in value-based care initiatives and other quantitative analysis & reporting requirements.
• Responsible for the discovery and deployment of applicable solutions to address business needs.
• Serving as a gatekeeper within cross-functional workflows with key internal stakeholders.
• Acting as the SME for quantitative projects and qualitative workflows.
• Driving data ingestion, storage & documentation protocol, data pre-screening & proactive risk mitigation, and task coordination & implementation.

Qualifications

• 5+ years of experience in healthcare finance, strategy, analytics, economics, or related field.
• Knowledge of healthcare reimbursement methodologies ranging from volume-based (fee-for-service) to value-based (quality performance incentives) arrangements.
• Knowledge of statistical analysis techniques, tools and modeling.
• Advanced proficiency using business intelligence resources such as Tableau, Power BI, SAS/SQL, and Microsoft Office.
• Ability to maintain complex financial models to support contracting, budgeting and forecasting activities.
• Collaborate with cross-functional teams to identify quantitative needs, mitigate risk, and sustain workflow synergy and alignment.
• Proven problem-solving skills, critical and independent thinking, and ability to navigate ambiguity.
• Ability to work optimally in a fast-paced matrixed environment and produce high-quality timely deliverables.
• Ability to build trusting relationships with stakeholders and demonstrate a proven record in establishing and sustaining collaborative workstreams.
• Must be a self-starter demonstrating high agility and capability to pivot work priorities within a dynamic evolving environment.

Requirements

• 6-8 years of experience in healthcare finance, strategy, analytics, economics, or related field (preferred).
• Master's degree in healthcare administration, finance, economics, analytics, or any other related field (preferred).
• Experienced working with large datasets and creating relational databases from multiple sources ensuring data integrity and interoperability.
• Advanced financial modeling skills including designing and leveraging scenario planning & sensitivity analysis schematics.
• Excellent communication skills (written and oral) and ability to communicate complex financial and contracting information to internal stakeholders ensuring clarity and understanding.
• Knowledge of revenue cycle activities such as fee schedule configuration & billing, claims submission & processing, and denials & appeals.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.

Company Description

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.