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.
Enterprise National Accounts Sr. Analytic Consultant
**We are seeking qualified candidates across the country for this remote opportunity**
Enterprise Accounts Clinical and Analytic Consulting 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 Enterprise Accounts 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 dedicated 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 Requirements:
- 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.
- Master’s 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 National Accounts Analytics team provides customer level consultative analytics and reporting for Aetna’s commercial and healthcare business segments. Working on the team 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 - $182,549.00
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. This position also includes an award target in the company’s equity award program.
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: 06/14/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.