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Senior Manager, Reimbursement Strategy & Analytics

AT CVS Health
CVS Health

Senior Manager, Reimbursement Strategy & Analytics

Woonsocket, RI

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

The Senior Manager of Pharmacy Reimbursement Strategy and Analytics is a key role in the Payer Relations FP&A organization. With the constantly evolving Pharmacy Reimbursement landscape, and the launch of the CVS CostVantage model, there is a vital need for comprehensive and real-time analytics. The Senior Manager will partner closely with the Director of Pharmacy Strategy and Analytics to provide these key insights and develop pricing recommendations for senior leadership.The Senior Manager can expect to develop and utilize strong analytical skills to quantify the value of contract opportunities, benchmark performance, and collaborate with the Payer Relations team to inform negotiations. The Senior Manager will also be responsible for leading regular reporting on business performance and developing process improvements to move toward more accurate modeling and efficient sharing of insights.

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  • Assist in development of next-generation CostVantage pro forma model to align to financials from Finance and give all the needed outputs to support Payer Relations team
  • Develop new benchmarking techniques and dashboards
  • Partner cross-functionally with Finance and data warehouse teams to enhance processes for integrating drug pricing data
  • Oversee and support modeling new pricing models across all lines of business
  • Liaison with Payer Relations Team to incorporate emerging business needs into process and modeling
This role will develop strong relationships across the retail organization to provide subject matter expertise and ad hoc analytics to cross-functional business partners including: broader finance organization, product development, operations, supply chain, and real estate.Approximate breakdown of responsibilities60% - Contract analytics & modeling: Develop complex deal models and underwriting in collaboration with Payer Relations team to support contracting negotiations for >100 payers and Pharmacy Benefits Managers. Apply strong analytical skills and business acumen to benchmark deal projections and analyze performance over time. Communicate recommendations, summaries, and nuances of analysis to senior leadership.30% - Develop subject matter expertise & conduct ad hoc analytics: Support broader finance, product development, operations, and supply chain organizations with payer finance knowledge and ad hoc analytical insight and recommendations. Assess financial impact of proposals from across the Retail and PBM organizations.10% - Process improvement: Collaborate with Director and broader team to lead the change from legacy reporting and analytics tools to consolidated financial infrastructure in order to support collaboration and automation. Evaluate existing reports and drive improvement for metrics and communication.Required Qualifications
  • 5+ years work experience in health care, finance, business analytics or related quantitative problem solving
  • Strong analytical skillset and approach to problem solving
  • Experience turning data into actionable insights
  • Strong communication skills and ability to drive recommendations to leadership through impactful, insightful analytical-based presentations
  • Ability to become trusted advisor to cross-functional business partners
  • Ability to focus on long-term, strategic goals while executing against short-term objectives
  • Ability to identify potential risks and subsequent mitigation strategies when developing recommendations
  • Ability to develop a deep understanding of the industry
Preferred Qualifications

5-8 years in health care finance/analyticsEducation

Bachelors degree requiredPay Range

The typical pay range for this role is:$82,940.00 - $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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 05/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Woonsocket, RI 02895, USA
Job ID: CVS-R0592211
Employment Type: Other

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • HSA
    • HSA With Employer Contribution
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
  • Financial and Retirement

    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program