Springfield, IL, 62762, USA
1 day ago
Analyst,Health Plan Analytics
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Role Description:** The Health Plan Analytics team serves to provide Oak Street with reliable and timely analysis on financial trends and patient economics. The team resides within the finance department, and organizations throughout Oak Street rely on its analyses and subject-matter expertise. The Associate role will use data and analytical skills to execute a set of responsibilities foundational to the work of the team. **Core Responsibilities:** Health Plan Operations: + Work closely with Oak Street’s health plan partners to reconcile financial performance on a regular basis + Manage monthly business performance assessment and support analysis of health plan value-based contracts + Analyze underlying drivers of financial results across health plan contracts and population cohorts + Partner with cross-functional teams to collect, validate, and analyze data to support ongoing reporting needs and identify areas for operational improvement + Work with the business intelligence team to validate and ensure accuracy of health plan data files + Collaborate with managed care operations and contracting teams in developing value-based contracting arrangements with health plans + Other duties as assigned Financial Reporting and Analysis: + Assist with regular reporting on medical costs, utilization, and their drivers, and research any anomalies + Utilize multiple data sources in order to identify and quantify cost improvement opportunities + Analyze underlying drivers of medical loss ratio performance, both revenues and medical costs, across payor contracts and the business + Assist with reinsurance contracts, including claims submissions and contract renewals + Work closely with the data ingestion teams to manage data warehouse tables and ensure accuracy of health plan data files for reporting purposes + Prepare ad-hoc analysis and data pulls as needed + Other duties as assigned Financial Planning and Forecasting: + Assist in the annual budgeting program + Provide analytical leadership for long-range financial modeling and forecasting + Develop analysis/tools to track and better understand the underlying drivers of Oak Street’s business performance + Provide support for financial modeling, forecasting, and other ad hoc analytical needs + Other duties as assigned **What are we looking for?** + Bachelor’s Degree; Finance, Accounting, Economics or related quantitative field preferred + 1-3 years of healthcare experience; value-based care or Medicare Advantage experience a plus + Excellent problem-solving and analytical skills + Ability to independently pursue and implement solutions to complex problems + Comfortability analyzing and transforming large data sets + Highly proficient with Microsoft Excel; experience with other financial and analytical applications highly preferred (e.g., SQL, Alteryx) + Excellent communication and interpersonal skills with the ability to be personable yet persistent + High level of individual initiative and an eagerness to learn + Ability to adapt and manage multiple priorities in a fast-paced environment + US work authorization + Someone who embodies being Oaky **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $93,574.00 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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 07/14/2025 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.
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