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

Performs complex medical economic projects (e.g. contract rate modeling)

Accountabilities include identification and completion of key deliverables to ensure all business objectives are met.

Responsible for the development and implementation of key medical economics business efforts e.g.medical cost initiatives, policies/programs, budget and analytical models.

Partners and consults with Network Management to provide medical cost analysis to assess effectiveness of contracted rates, creating and implementing plans to effectively manage medical costs based on analysis or trends.

Develops market specific provider reimbursement schedules

Oversees the production of both standard and ad-hoc reports used for risk assessment analysis, budgeting, and hospital chargemaster analysis and forecasting.

Coordinates rate approvals and develops pricing for most complex contractual arrangements.

Develops and communicates tactical and strategic plans to satisfy information needs across products, segments and markets to a broad audience

Required Qualifications

3+ years demonstrated leadership and/or project management experience

3+ years of healthcare and/or analysis experience.

Preferred Qualifications

• Knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.

• Comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies.

• Understanding of internal and external database applications.

• Knowledge of market-place delivery (understanding of provider relationships).

Skill in:

• Strong communication/presentation skills.

• Strong software and modeling skills.

• Strong analytical ability and familiarity with advanced financial and healthcare concepts.

• Ability to manage conflicting priorities and multiple projects concurrently.

EducationBachelor'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 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: 02/09/2026

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