Are you interested in a work from home position? an opportunity where you can balance priorities in and outside of work while helping people on their path to better health? if so, consider a role at cvs health, a fortune 5 company, as a medical economics analyst!
This position is part of a highly skilled technical research and reporting team supporting multiple aetna medicaid plans across the countryThe work done here to turn complex data into information is used every day and the successful candidate will be working closely with colleagues from many disciplines across the company to ensure that timely, accurate, and thorough information is availableThis is a learning role integrating a wide array of information from subject matter experts, healthcare and financial laws and regulations, and internal policiesIt requires creative analytical approaches using a variety of reporting technologies and methods.
Role at-a-glance:
Responsible for the development and maintenance of structured reports and ad-hoc analyses that support financial operations and strategic decision making
Applies understanding of medicare and medicaid programs to ensure reporting is in line with business rules, policy, and other requirements
Provides consultation on the design, testing, and enhancement of reports including technical assistance support to internal customers
Develops and maintains reporting data warehouses using sql server management studio (ssms) and sql server information studio (ssis)
Provides oversight of data quality and provides feedback to business areas in order to improve service delivery, data integrity, and outcomes
Contributes to a motivated work environment by working effectively to achieve common goals
Critically reviews and revises existing processes and applications for updates to policies and program enhancements
Identifies data, system and operational issues and recommends solutions and changes to streamline
We offer a comprehensive benefits package which includes medical, dental, vision insurance as well as a wide-ranging list of supplemental benefits and discount programsIn addition to sixteen paid days off for employees, we also offer ten paid holidays.
Required qualifications
3 or more years of experience in the managed care industry with knowledge of eligibility, claims adjudication, reserving, financial reporting or related experience
3 or more years of experience within analytics of finance or related experience
3 or more years of sql and/or sas experience
Covid requirements
Covid-19 vaccination requirement
Cvs health requires its colleagues in certain positions to be fully vaccinated against covid-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one covid-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employmentFor the two covid-19 shot regimen, you will be required to provide proof of your second covid-19 shot within the first 60 days of your employmentFailure to provide timely proof of your covid-19 vaccination status will result in the termination of your employment with cvs health.
If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with cvs healthAs a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinatedIf your request for an accommodation is not approved, then your employment may be terminated.
Preferred qualifications
Knowledge of medicare/medicaid strongly preferred
Advanced excel skills (complex formulas, pivots, dynamic visualizations, vba)
Demonstrated ability to effectively coordinate multiple projects simultaneously
Ideal candidate will have health services research or epidemiology background/education
Strong sql and/or sas programming skills
Strong problem-solving skills and critical thinking ability
Education
High school diploma/ged requiredBachelor`s degree preferred.
Business overview
At cvs health, we are joined in a common purpose: helping people on their path to better healthWe are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focusedWorking together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every dayCvs health is an equal opportunity and affirmative action employerWe do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local lawWe proudly support and encourage people with military experience (active, veterans, reservists and national guard) as well as military spouses to apply for cvs health job opportunities.
