Pharmacy Reimbursement Strategy & Finance Lead

CVSHealth; Massachusetts; On-site; USD 54,000 - 146,000; Full time

Job summary

CVS Health is seeking a Manager of Pharmacy Reimbursement Strategy and Finance to lead analytics for the evolving Pharmacy Reimbursement landscape and the CostVantage model. You will quantify contract value, benchmark performance, and inform negotiations while developing real-time insights and efficient sharing processes.

You will partner with Finance, data teams, and cross-functional partners to build pricing models, dashboards, and ad hoc analyses that support payer relations and strategic

Qualifications

• 3-5 years work experience in health care, finance, consulting, business analytics or related quantitative problem solving.
• Strong analytical skillset and approach to problem solving.
• Strong financial modeling skills - Ability to build, maintain, and interpret complex deal models and quantify financial impacts.
• Strong communication skills and ability to drive recommendations to leadership through impactful, insightful analytical-based presentations.
• Ability to become trusted advisor to cross-functional business partners.
• Ability to focus on long-term, strategic goals while executing against short-term objectives.
• Ability to develop a deep understanding of the industry.
• 1- 2 years SQL experience.

Responsibilities

• 60% Contract analytics & modeling: develop deal models and underwriting to support contracting negotiations for 100+ payers and PBMs.
• 20% Project management: transition to CostVantage model, support vaccine financials and reimbursement processes.
• 20% Develop subject matter expertise & ad hoc analytics: support finance, product development, operations, and supply chain with payer finance knowledge.

Skills

Analytical skills

Financial modeling

Communication

Cross-functional collaboration

SQL

Education

Bachelor’s degree

Job description

CVS Health is seeking a Manager of Pharmacy Reimbursement Strategy and Finance to lead analytics for the evolving Pharmacy Reimbursement landscape and the CostVantage model. You will quantify contract value, benchmark performance, and inform negotiations while developing real-time insights and efficient sharing processes.

You will partner with Finance, data teams, and cross-functional partners to build pricing models, dashboards, and ad hoc analyses that support payer relations and strategic