Senior Healthcare Economics Analyst - Cost Modeling

CVS Health; Austin (TX); On-site; USD 47,000 - 102,000; Full time

Job summary

CVS Health in Austin, TX is seeking an experienced senior analyst to lead complex medical economics projects, including contract rate modeling and cost initiatives. You will develop and implement analytical models, supporting budgeting and risk assessment across multiple markets.

You will collaborate with Network Management to analyze provider reimbursement, produce standard and ad-hoc reports, and coordinate rate approvals for complex contracts.

Qualifications

• Bachelor's degree or equivalent work experience required.
• 3+ years leadership and/or project management experience.
• 3+ years healthcare and/or analysis experience.
• Knowledge of managed care and provider reimbursement policies.

Responsibilities

• Perform complex medical economic projects (e.g., contract rate modeling).
• Identify and deliver key deliverables to meet business objectives.
• Develop and implement medical economics programs, budgets, and analytical models.
• Provide medical cost analysis to assess contracted rates and costs.
• Develop market-specific provider reimbursement schedules.
• Oversee standard and ad-hoc reporting for risk assessment, budgeting, and chargemaster forecasting.
• Coordinate rate approvals and create pricing for complex contracts.
• Communicate tactical/strategic plans to diverse audiences.

Skills

Communication

Presentation skills

Software modeling

Analytical thinking

Project management

Healthcare economics

Education

Bachelor's degree or equivalent

Tools

Database applications

Job description

CVS Health in Austin, TX is seeking an experienced senior analyst to lead complex medical economics projects, including contract rate modeling and cost initiatives. You will develop and implement analytical models, supporting budgeting and risk assessment across multiple markets.

You will collaborate with Network Management to analyze provider reimbursement, produce standard and ad-hoc reports, and coordinate rate approvals for complex contracts.