Manager, Business Analytics

CVS Health•Work At Home-California, MS

About The Position

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 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 to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. These activities require advanced technical, analytical, and consultative skills, advanced proficiency in using business intelligence tools, and extensive knowledge of healthcare business models and healthcare delivery systems. Responsible for the discovery and deployment of applicable solutions to address business needs and serving as a gatekeeper within cross-functional workflows with key internal stakeholders operating via an external-facing lens. Act as the SME for quantitative projects and qualitative workflows by driving data ingestion, storage & documentation protocol, data pre-screening & proactive risk mitigation, and task coordination & implementation.

Requirements

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 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.

Nice To Haves

6-8 years of experience in healthcare finance, strategy, analytics, economics, or related field
Master's degree in healthcare administration, finance, economics, analytics, or any other related field
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

Responsibilities

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.
Extract, analyze, and interpret contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements.
Discover and deploy applicable solutions to address business needs.
Serve as a gatekeeper within cross-functional workflows with key internal stakeholders operating via an external-facing lens.
Act as the SME for quantitative projects and qualitative workflows by driving data ingestion, storage & documentation protocol, data pre-screening & proactive risk mitigation, and task coordination & implementation.