Senior Analyst, Medical Economics

CVS Health; Texas; Hybrid; USD 47,000 - 102,000; Full time

Job summary

CVS Health is seeking a professional to perform complex medical economic projects, including contract rate modeling and cost analysis. You will collaborate with Network Management to assess contracted rates, develop reimbursement schedules, and support strategic planning across products and markets.

The role focuses on delivering measurable insights through advanced modeling, reports, and cross-functional collaboration to drive cost effectiveness in healthcare programs.

Qualifications

• 3+ years leadership and/or project management experience.
• 3+ years of healthcare and/or analysis experience.

Responsibilities

• Perform complex medical economic projects (e.g., contract rate modeling).
• Develop and implement medical economics initiatives, policies and budgets.
• Provide medical cost analysis in collaboration with Network Management.
• Create market-specific provider reimbursement schedules and pricing for complex contracts.
• Produce standard and ad-hoc reports for risk assessment, budgeting and chargemaster analysis.

Skills

Leadership

Project Management

Healthcare/Analytics

Communication

Presentation Skills

Analytical Skills

Prioritization

Education

Bachelor's Degree

Tools

Advanced financial modeling

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

Performs complex medical economic projects (e.g. contract rate modeling) Accountabilities include identification and completion of key deliverables to ensure all business objectives are met. Responsible for the development and implementation of key medical economics business efforts e.g.medical cost initiatives, policies/programs, budget and analytical models. Partners and consults with Network Management to provide medical cost analysis to assess effectiveness of contracted rates, creating and implementing plans to effectively manage medical costs based on analysis or trends. Develops market specific provider reimbursement schedules Oversees the production of both standard and ad-hoc reports used for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting. Coordinates rate approvals and develops pricing for most complex contractual arrangements. Develops and communicates tactical and strategic plans to satisfy information needs across products, segments and markets to a broad audience.

Required Qualifications

• 3+ years demonstrated leadership and/or project management experience
• 3+ years of healthcare and/or analysis experience.

Preferred Qualifications

• Knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.
• Comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies.
• Understanding of internal and external database applications.
• Knowledge of market-place delivery (understanding of provider relationships).

Skill in:

• Strong communication/presentation skills.
• Strong software and modeling skills.
• Strong analytical ability and familiarity with advanced financial and healthcare concepts.
• Ability to manage conflicting priorities and multiple projects concurrently.

Education

Bachelor's Degree or equivalent work experience required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $46,988.00 - $102,000.00

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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.

• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/13/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.