Job Title

Job DescriptionAs a Senior Medical Economics Analyst on the Pay for Performance team (P4P), you will be responsible for co-managing the payment system and associated workflows & reporting used to process & audit Value Based Contracting (VBC) payments. The Pay for Performance Lead is essential for ensuring the payments meet P4P requirements and are executed in accordance with the contract and calculated accurately through data review. The Pay for Performance Lead position is responsible for working collaboratively with multiple teams involved in VBC deals to assist in workflows modifications, training P4P processors, auditing payments and creating reports for monthly financial reconciliations and ad hoc requests. As part of the Pay for Performance Team, you will be accountable for timely auditing of all assigned P4P payments with great attention to detail to ensure all supporting documentation is present and data calculations meet the contractual requirements. This position will also manage the workflow, execution, and accounting of all credits/refunds back into the financial system. You will also be able to work with other Medical Economics teams & VBC teams to evaluate new programs and assist in determining the requirements needed to process a payment in accordance with established P4P audit and processing requirements. Additional Responsibilities of the Pay for Performance Lead: Work both independently and collaboratively with business units across the company to support provider specific Value Based Contracting including workflow modifications to support complex payment processing. Participate in new VBC program discussions as Pay for Performance subject matter expert. Meeting tight deadlines within the context of potentially changing priorities, working both independently and facilitating cross-functional solutions.Required Qualifications 2 or more years of analysis experienceCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Ability to quickly adapt to change as workflows and programs continually evolve Comfort in a fast-paced environment with ability to prioritize multiple assignments to meet deliverables Highly self-motivated with great organization skills and an eye for details Comfort with using Microsoft Excel and Microsoft Office suite. Experience with Microsoft Access and/or mainframe applications Experience within the healthcare industry, healthcare data, common healthcare terminology and medical cost issues & strategies Medical Economics, Informatics, or Finance experienceEducationBachelor's degree or equivalent work experience required.Business OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.