Senior Manager, Business Consultant - National & Enterprise Plan Sponsor Consulting

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.

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

National & Enterprise Plan Sponsor Consulting (NEC) 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