Manager, Business Analytics - Pharmacy and Contract Compliance, CVS Health

CVS Health

Location:
United States, Woonsocket, Rhode Island

Category:
Finance

Contract Type:
Not provided

Salary:

66330.00 - 145860.00 USD / Year

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Job Description:

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.

Job Responsibility:

Managing an assigned book of PBM payer data reconciliations at a monthly and/or quarterly cadence
Collaborating and sustaining business relationships with Payer Relations Directors and other Pharmacy Analytics and Contract Compliance Analysts on PBM compliance management
Coordinating and clearly communicating impact between adjudication and overall pricing guarantees to senior leadership and Payer Relations Directors
Partner with Payer Relations Directors to negotiate contract settlements with data-driven insights
Providing insights to senior leadership on process improvements, leveraging new technology and improved data sets to refine existing reporting and reconciliation processes

Requirements:

3+ years of professional work experience
3+ years of data analytics work using Excel/Access, other business intelligence or reporting tools
Combination of business and technical/analytical expertise to generate customized, actionable insights in a data-driven and deadline-oriented environment
Strong analytical and quantitative skills
outstanding strategic thinking and problem-solving skills
Ability to develop a deep understanding of PBM contract language, data requirements and reconciliation processes across multiple lines of business as well as serving as a SME and data steward for other Payer Relations Analysts, as well as Payer Relations Directors
Ability to identify complex problems and develop actionable solutions through data analysis and observation
Experience building financial modeling, measuring financial impact, identifying trends and anomalies, drawing conclusions from data, as well as problem-solving and troubleshooting

Nice to have:

Experience with SQL, Salesforce, Foundry, Tableau, Power BI strongly preferred
1+ years financial modeling experience is a significant plus
1+ years of Pharmacy work experience
Ability to learn new tools and skills quickly is strongly preferred
Excellent written and oral communication and strong presentation skills
Ability to quickly learn new businesses processes and identify key drivers of performance
Detail-oriented and able to manage multiple projects simultaneously, prioritizing work, and communicating results in a manner that is clear, logical, consistent, and effective
Results driven, with a desire to work in a dynamic environment that values collaboration, integrity, and accountability

What we offer:

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

Additional Information:

Job Posted:
June 10, 2025

Expiration:
June 28, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Manager, Business Analytics - Pharmacy and Contract Compliance