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United States, Work at Home Employment contract 118450.00 - 260590.00 USD / Year · Job Posted May 28, 2026
Job offer has expired
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Job Description
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 position within the network analytics team provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities. The market-specific responsibilities will provide individuals with the opportunity to develop in-depth knowledge of market dynamics and to establish strong cross-functional relationships with key business partners, including network, MEU, and commercial actuarial teams. Additional core areas of focus include network discounts, emerging trend analytics, and pricing and contracting support.
Job Responsibility
Develop a quarterly, market-level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for future negotiations
Provide meaningful information to the field on the impact and expected timing of new negotiations beyond current consultant benchmarking
Engage cross-functionally with Network, MEU, and other teams to drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health
Provide support for Aetna Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across all Commercial market segments
Validate and refine pricing using contracting insights such as trend, PCRs, and area factors during Large Group Rate Review
Build a suite of tools and analyses to provide optimal strategic support for Priority Markets and Strategic/Enhanced Providers
Address a complex and error-prone mix of state-specific standard contracts by selecting a single, competitive fee schedule that is consistent across state lines
Requirements
Bachelors degree along with 5+ years of actuarial and/or analytical experience with strong technical, analytical, and financial skills
ASA designation
Nice to have
Excellent written and verbal communication skills
Programming (SQL, SAS, Python, R) experience
Provide superior customer service to both internal and external constituents
Thrive in a constantly evolving environment with competing priorities and deadlines
Problem solving skills are critical as many of the concepts are new or in development
Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined