[Hiring] Senior Manager, Payer Insights and Analytics @CVS Health

Role Description CVS Health is on a mission to transform healthcare. With a shared purpose to help people on their path to better health, we are finding new ways to care for our communities, leveraging our brick-and-mortar footprint of 10,000 stores. At the heart of this strategy are the 180,000+ store colleagues who build unmatched human connections with our customers every day. As we seek to simplify a complex healthcare system for the patients we serve, thoughtful communications that engage, inspire, and activate our colleagues across multiple channels are increasingly essential. The Senior Manager, Payer Insights is the foremost authority on Retail adjudication business intelligence and is relied upon to establish strategies to improve business performance by analyzing pharmacy claims data, identifying dispensing patterns, and evaluating payer reimbursement rates. Insights derived will drive informed business decisions and solution development related to the adjudication of pharmacy claims. • Responsible for providing objective and professional guidance to drive strategic recommendations that will incrementally improve business outcomes. • Work closely with a cross-functional team charged with identifying and generating significant value tied to workflow efficiency, margin improvement, and new business growth. • Support various value-driving initiatives, as well as lead the design, implementation, and post-delivery monitoring of select adjudication and margin-related projects. The ideal candidate will possess outstanding analytical and problem-solving skills, and have experience presenting to Senior Leaders with poise and credibility. They will have demonstrated success conducting complex quantitative analysis and building models using advanced analytical tools and platforms. • Ability to communicate effectively and succinctly, both verbally and in content creation (e.g. Microsoft PowerPoint). • Experience managing and prioritizing multiple assignments while meeting deadlines. • Strong understanding of Payers, drugs, and the Retail pharmacy financial landscape. • Capacity to work independently and adapt to evolving work priorities. • Creative, out-of-the-box thinker who is intellectually curious with a demonstrated interest in learning. • Open and honest communication style that quickly builds trust and respect. The Senior Manager will report to the Director leading the Performance Team, and lead a team of adjudication/analytics experts. Qualifications • 7+ years of analytical experience within pharmacy, healthcare, managed care, or related field. • 7+ years of experience with pharmacy claims adjudication. • Attention to detail, strong drive to ensure the integrity of underlying data and reports. • Ability to communicate and influence mid-level managers (Director and above), as demonstrated by 2+ years of experience creating and delivering leadership-facing materials and presentations. • 2+ years of experience using advanced Excel, PowerPoint skills and other MS Office Applications. Requirements • Experience in finance and margin analysis. • Mastery of Microsoft Office Suite, especially Excel, Access, and PowerPoint. • 8+ years of experience working with DW NCPDP or other BI data mining tools. • 8+ years of experience with the NCPDP standard. • 1+ years of experience leading a team of analysts. Education • Bachelor's degree required, Masters / Advanced degree preferred. Pay 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. Benefits • Comprehensive and competitive mix of pay and benefits. • Medical, dental, and vision coverage. • Paid time off. • Retirement savings options. • Wellness programs and other resources, based on eligibility.