Senior Analyst, Business Analytics

CVS Health

8d

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 The Pricing Operations Senior Analyst will review guarantee performance by client on a monthly basis, prepare financial performance reporting, provide reporting and information for audit requests, and partner with Underwriting, Networks, Sales/Account Management, Audit and Legal, to review contract terms and provide recommendations for pricing strategy. Primary responsibilities include: - Perform monthly data pulls for assigned guarantee clients. Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization. - Collaborate with underwriting, finance and accounting partners to understand and improve gaps and overlaps in processes and gain further understanding of the multiple components and factors that impact a client’s financial performance. - Perform lookback analysis to review underwriting assumptions to contract language and actual results, in an effort to provide future recommendations to senior leadership. The successful candidate will have analytical, programming, and interpersonal skills, be able to manage both long- and short- term projects and assignments effectively, and work collaboratively in inter-departmental settings to accomplish tasks and goals. You will have the opportunity to develop reporting packages and presentations to management, create best-practices, and draw conclusions from the information to provide input to critical business decisions. Key interactions are with Underwriting, Networks, Sales/Account Management, Finance, Accounting, Audit and Legal.

Requirements

• 5 years pricing, financial or data analysis experience required.
• Experience with creating financial models and working with large data sets and in a database environment.
• Analytical, programming, and interpersonal skills
• be able to manage both long- and short- term projects and assignments effectively
• work collaboratively in inter-departmental settings to accomplish tasks and goals

Nice To Haves

• 2+ years’ experience with PBM
• Knowledge of health insurance, managed care, or pharmaceutical industry preferred
• Analytical expertise and experience, SAS, SQL, Access, and Excel
• Masters Degree preferred

Responsibilities

• Perform monthly data pulls for assigned guarantee clients.
• Review performance results, drug mix and utilization to identify opportunities to mitigate financial risk to the organization.
• Collaborate with underwriting, finance and accounting partners to understand and improve gaps and overlaps in processes and gain further understanding of the multiple components and factors that impact a client’s financial performance.
• Perform lookback analysis to review underwriting assumptions to contract language and actual results, in an effort to provide future recommendations to senior leadership.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level