Medical Economics Behavioral Health Lead Analyst

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 We are seeking an analytical professional to join our Medical Economics - Medical Expense Review (MER) team. This individual will focus their time on developing savings analyses for Behavioral Health initiatives led by Medicaid Health Plans and Utilization Management Teams. The primary goals of this team are to a) identify and communicate with leadership specific provider, procedure and population level trends and outliers impacting the health plans medical cost trends, and b) analyze and size potential savings initiatives in coordination with clinical, finance, and network leads. Critical to the role will also be coordinating with BH and Analytics leads across multiple teams to obtain information on actions being taken to drive savings - which will be the key driver of building savings models to communicate results of the initiatives to leadership.

Required Qualifications

Applicants must have relevant analytical financial experience. Minimum of 3-5 years’ experience with key managed care functions including provider and population analytics, provider contracting, benefit design, medical management as well as knowledge of business functions and impact on financials. Advanced skills in Excel, and Web-based query tools to pull and analyze ad-hoc data. Ability to build savings models based on a variety of utilization and cost metrics to size impact and monitor over time. Critical skills within Excel include use of pivot tables to sort and organize data, use of formulas for financial modeling and data tagging, and creation of data visualizations to effectively communicate the trend story Essential skill as reporting “super user” – able to easily navigate, comprehend, and tease out findings with a variety of enterprise reporting tools. Comfortable presenting to executive audience - with high skill level to build powerpoint visuals to explain trends as well as communication skills to articulate the key issues and actions efficiently. Demonstrates critical thinking and expresses ideas clearly, concisely and logically from a cross functional perspective. Ability to manage conflicting priorities and multiple projects concurrently. Demonstrates initiative, innovation and leadership in achieving results. Ability to learn new technologies and analytic approaches.

Preferred Qualifications

Skills within SQL Coding that may be beneficial will include ability to run ad-hoc analyses to answer specific clinical or financial questions for the Account, Finance, UM, or Network Teams. Extensive knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs. Full comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies. An understanding of the healthcare industry is strongly preferred, including differentiating between inpatient and outpatient services, facility and professional claims, and impacts from population dynamics. Underwriting, sales, product development, network management is also strongly preferred. SQL Coding experience preferred but not required. Education Bachelor’s Degree in business, finance, or related field OR equivalent experience. This remote role does not support visas at this time. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $145,860.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 08/17/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Apply To This Job