Senior Manager, Client Business Analytics Consultant

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.

The Senior Manager Analytic Consultant is an experienced customer-facing analyst who supports the Account Team’s ability to craft a compelling story and become trusted advisors by turning a customer’s data into meaningful and actionable information. This role is responsible for medical claims and economics reporting and analytics for Maine Health, a dedicated Healthcare Business Solution customer. The successful candidate is one adept at using data from various sources to understand a customer’s health plan performance, how programs and strategies have influenced that performance, and ultimately partner with the Account Teams in providing solutions and strategies to customers in a consultative manner.

• Provide day-to-day oversight of customer-facing, analytics work and correspondence. Set priorities for that work, ensuring that appropriate resources are aligned to the needs of our field partners and their customers.
• Effectively collaborate with field leaders, making certain to understand their business retention and growth objectives and how the work of the AC can best support those objectives.
• Provide proactive trend advising and cost mitigation strategies.
• As needed, work directly with the customer in a strategic advisory role. Work closely with Plan Sponsor reporting routine reporting partners to advise on the most recent trends and necessary updates.
• Work closely with Clinical Program Consultant to provide fluid, combined financial and clinical, reporting, and trusted advising.

* The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location. East Coast preferred.

• Business/Industry Knowledge:
  Minimum of 5-8 years of healthcare industry experience interpreting/analyzing all aspects of a customer’s experience (financial results, medical management results, population health, effectiveness of incentive/wellness strategies, etc.). Experience must include using data across the spectrum of a customer’s products/results to tell the ‘story’, connecting the dots between various strategies and results and ultimately identify, value, and communicate areas of opportunity.
• Strong understanding of Medical Economics concepts like:
  Value Based Care arrangements, monitoring/mitigating medical costs, basic provider/network concepts, partnering with PSL on operational claim research.
• Relationship management:
  Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously in client facing role.
• Strategic Thinking:
  Must have demonstrated ability to think strategically in an independent manner and ‘out of the box’ versus accepting the status quo.
• Technical
  
  Skills:
  
  Strong technical skills in all Microsoft Office Applications is required with advanced proficiency in Excel preferred. Experience with reporting/analytic applications is preferred with knowledge of SQL / SAS / GCP programming is a plus.
• Project Management:
  Must possess the ability to manage multiple projects at one time and be able to work cross functionally within the organization to achieve goals.
• Strong communication skills. Able to articulate (verbally and written) complex business results, issues, and strategies in a clear, concise, and confident manner to all levels and positions of an organization (internal and external).
• Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen.

• Bachelor's degree/specialized training/relevant professional qualification