Senior Analyst, Business Consultant

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 Cost Management team resides within the Network and Pharmacy Solutions organization at Meritain Health and oversees payment integrity products and strategy, with a number of internal and external stakeholders that rely on the team’s analyses and business expertise. The Sr. Analyst Business Consultant will use data and analytical skills to support financial and operational performance analysis, strategic initiatives, and customized solutions for employer groups. This role is ideal for someone who thrives in a fast-paced environment, is highly capable of working with disparate data sources, and can manage shifting priorities.

Key Responsibilities

Product Management:

• Develop and maintain performance/trend reports, dashboards, and data models to support decision-making for various payment integrity services.
• Partner with larger team to collect, validate, and analyze data to support ongoing reporting needs and identify areas for operational improvement.
• Assist with group product changes, implementations, and data management.
• Ensure accuracy and integrity of data across multiple sources.

Financial Reporting & Analysis:

• Develop and maintain regular reporting on revenue, claims analysis, utilization, and drivers; researching any anomalies. 
• Provide support for financial modeling, budgeting, forecasting, and other ad hoc analytical needs.
• Vendor payment and group billing reconciliations.
• Collaborate cross functionally to answer questions or resolve issues.

Project Management:

• Assist in the development and implementation of initiatives to optimize product and process efficiency and effectiveness.
• Utilize multiple data sources in order to assist with identifying and quantifying savings and revenue opportunities.

Other Duties as Assigned

Required Qualifications

• Minimum 3 years of professional experience in data analysis, financial analysis, or related analytical roles.
• Highly proficient with Microsoft Excel, financial modeling, and Tableau.
• Excellent problem-solving skills and strategic mindset, focused on continuous improvement.
• Comfortable working with and analyzing large sets of disparate data.
• High level of individual initiative - Ability to independently pursue and implement collaborative solutions in a fully remote role and an eagerness for continued learning.
• Excellent communication and interpersonal skills with the ability to be personable yet persistent across all levels of the organization.
• Ability to adapt and manage multiple priorities in a fast-paced environment.

Preferred Qualifications

• 1 - 3+ years of healthcare insurance experience; TPA, NSA, or payment integrity knowledge a plus
• Experience/familiarity with other data analysis tools (e.g. Python, SQL, etc.)
• Experience with presentation preparation - ability to convey complex information clearly and concisely.

Education

• Bachelor’s degree in Business Analytics, Finance, Healthcare Administration, Mathematics, or related field. Equivalent work experience may be considered in lieu of a degree.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

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 people

We 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/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.