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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

NEC Analytic Consultant

*We are seeking qualified candidates across the country for this hybrid opportunity*

National & Enterprise Plan Sponsor Consulting (NECI) is searching for an experienced customer-facing analyst that uses data from various sources to understand a customer’s health plan performance, how programs and strategies have influenced that performance, and ultimately provide solutions and strategies to the customer in a consultative manner. Our NEC Consulting Team supports regionally aligned teams with specialized skills and expertise with engaged account teams. Together they create a holistic view of your plan results and collaborate throughout the year to deliver a richer, multi-dimensional set of recommendations for improved plan performance. You benefit from the collective efforts of the team for quicker and higher impact to your plan, including population health.

The primary responsibility within this position is to interpret, analyze and provide strategies related to the overall plan results for a customer. Results may include things such as medical cost, pharmacy cost, clinical programs, population health and disability. This role will require creating reports or presentations as necessary and the analyst will need to be able to articulate results to a wide range of audiences including customers and consultants and must be able to present complex information in a compelling format and manner. The individual in this position may conduct weekly and monthly analytic reviews with a cross functional team and must be able to meet multiple deadlines in a fast-paced environment.

The ideal candidate will have a thorough understanding of the healthcare industry including benefit plans, medical management programs, population health and incentive strategies. The candidate must have strong technical and communication skills and be able to work in a face-paced environment and handle multiple priorities. They must maintain up-to-date knowledge of external/industry trends.

Core Competencies:

• 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).

• Business/Industry Knowledge: Minimum of 7-10 years of 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’, connect the dots between various strategies and results and ultimately identify, value and communicate areas of opportunity.

Must have strong knowledge of claim coding (CPT/DRG, etc.), provider networks, benefit designs, healthcare products/funding, medical management programs and financial acumen.

• 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.

• 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: Must possess strong technical skills in Microsoft Office Applications (Excel, Access, Word, PowerPoint) as well as experience using analytic/reporting applications.

Education and Certification Requirements

• College degree, or equivalent experience.

• Masters degree preferred, but not required.

• Appropriate licensure or certification by discipline preferred.

Additional Information (situational competencies, skills, work location requirements, etc.)

• Critical thinking skills.

• Time management skills.

• Organizational skills.

• Negotiation/influencing skills.

• Relationship and change management skills.

• Analytical and planning skills.

• Oral and written communication skills.

• Ability to work in a team environment.

Additional Candidate Information:

The NEC team provides customer level consultative analytics and reporting for Aetna’s commercial and healthcare business segments. Working on the team NEC provides the opportunity for exposure to senior levels of management within Aetna as well as to customers and consultants. The work environment supports and thrives on out-of-the box thinking and creative talent. Our team is highly valued by our internal partners as well as the customers we serve.

Minimal Functional Experience:

• Finance - Financial reporting and analysis

• Information Management - Medical economics

• Management - Management - Data analysis and interpretation

Technology Experience:

• Desktop Tool - TE Microsoft Excel

• Desktop Tool - Microsoft PowerPoint

• Reporting Tool – SAS, SQL, Python

• Aetna Application - Enterprise Data Warehouse

Skills - Required

• General Business – Consulting for solutions

• General Business – Demonstrating Business and Industry Acumen

• General Business – Turning Data Into Information

Skills – Desired

• General Business – Communication for Impact

• Leadership – Anticipating and Innovating

• Leadership – Collaborating for Results

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.40

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. This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 12/16/2024

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.