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 This role turns medical pharmacy performance data into strategic insights and decision-ready recommendations for the Aetna Pharmacy team across all lines of business. You’ll evaluate in-flight initiatives, monitor operational and experience trends, and partner with clinical and pharmacy network stakeholders to pinpoint the highest-impact drivers, clarify tradeoffs, and set a focused path of action.
Requirements
- 7+ years of healthcare data analytics and reporting experience.
- 3-5+ years of SQL query and coding experience
- Medical Pharmacy knowledge
- Strong communication skills with the ability to translate analysis into clear recommendation
- Ability to think creatively and use multiple data sources to assess and develop business strategies
- Ability to manage multiple priorities across stakeholders and timelines
- Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business
- Experience with large and detailed data sets
- Strong collaboration skills with network and clinical partners
Nice To Haves
- Experience with network, vendor, or partner-related work
- Knowledge of different Aetna segments and how unique components within each LOB impact P&L
Responsibilities
- Performance narrative: Review medical pharmacy performance across multiple initiatives to provide direction on how to balance intersection, including suggested next steps and responsibility by stakeholder
- Performance evaluation: Assess performance of in-flight medical pharmacy (MedRx) initiatives owned by Aetna Pharmacy; identify what’s working, what’s not, and what to change by line of business
- Reporting & monitoring: Build and maintain reporting/analytics to track initiative success, operational performance, and experience trends
- Drivers & affordability opportunities: Conduct detailed analysis of cost, utilization, and operational levers at the drug and provider level and quantify opportunities to improve affordability with a focus on turning adhoc requests into repeatable monitoring
- Risk/opportunity sizing: Use internal and external data sources to quantify risk, upside, and tradeoffs; communicate implications clearly
- Operating cadence: Stand up a recurring cadence to review initiative value, progress, and decisions with cross-functional workgroups and senior leaders
- Cross-functional partnership: Build strong working relationships with Rx Network, Medical Network, and Rx clinical teams across Aetna LOBs to increase transparency and accelerate decisions
- Strategic insights: Provide LOB-informed insights on plan design, formulary design, member engagement, and related strategic initiatives
- Executive communication: Deliver succinct, decision-oriented updates for senior leaders, including valuation summaries and key callouts
Benefits
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
- Additional details about available benefits are provided during the application process and on Benefits Moments.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
