Sr Analyst, Medical Economics

9025 CVS Shared Services Resources LLC; Massachusetts; Hybrid; USD 47,000 - 112,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health is seeking a Medical Economics Sr Analyst to provide consultative support and medical cost-based analysis across markets and network initiatives. You will collaborate with network and clinical management to optimize discount positions and strategic cost utilization, managing multiple projects with cross-functional teams.

You will prepare monthly presentations, work with local market leaders, and drive data-driven insights.

Qualifications

• 3+ years of experience in analytics or finance or equivalent experience.

Responsibilities

• Analyze and research utilization and unit cost medical costs drivers.
• Turn data into usable information by telling the story through data visualization.
• Support the development of scoreable action items by identifying outlier cost issues.
• Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends.
• Own, track, and document all aspects of related work from beginning to end of a project.
• Work with Excel, MS-Access, Power BI, and Web-based query tools (data warehouse).

Skills

Analytics

Finance

Data visualization

Excel

Education

Bachelor's degree or equivalent

Tools

Excel

MS Access

Power BI

Data warehouse queries

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 It’s an exciting time for our Medical Economics team at CVS Health. As a growing team in a Fortune5 company, we can provide amazing benefits to our employees along with continuous career development. This includes flexible work location, a great work-life balance, and a competitive salary. You will also be able to flex your analytics and consultative skills to positively impact our patients’ health.

As a Medical Economics Sr Analyst, you will provide consultative support and medical cost-based analysis of markets and network initiatives. You will be responsible for consulting with network and clinical management on opportunities to improve our company’s discount position and strategic cost and utilization initiatives and is essential to managing conflicting priorities and multiple projects.

As part of the Medical Expense Review (MER) team, you will prepare for monthly presentations, and manage both long and short-term projects, working collaboratively with local market leaders to accomplish tasks and goals that will improve the care we give our patients.

You will also:

• Analyze and research utilization and unit cost medical costs drivers
• Turn data into usable information by telling the story through data visualization
• Support the development of scoreable action items by identifying outlier cost issues
• Perform drill-down analysis to identify medical cost trend drivers; advise network of contracting opportunities to mitigate future trends
• Own, track, and document all aspects of related work from beginning to end of a project
• Work with Excel, MS-Access, Power BI, and Web-based query tools (data warehouse)

Required Qualifications

3+ years of experience in analytics or finance or equivalent experience.

Preferred Qualifications

• Experience in within the healthcare industry
• Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials (underwriting, sales, product development, network management)
• Experience working with medical and pharmacy claims

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 - $112,200.00. 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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. 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: 09/28/2026

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 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.