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CVS Health
Woonsocket, Rhode Island, United States
(on-site)
Posted
23 hours ago
CVS Health
Woonsocket, Rhode Island, United States
(on-site)
Job Type
Full-Time
Industry
Other
Job Function
Other
Manager, Reimbursement Strategy & Analytics
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Manager, Reimbursement Strategy & Analytics
The insights provided are generated by AI and may contain inaccuracies. Please independently verify any critical information before relying on it.
Description
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
The role is responsible for advancing CVS's understanding of the reimbursement landscape through rigorous payer COGS analysis and proactive evaluation of market‑shaping policy and regulatory developments. This position will assist in competitive assessments of pharmacy cost‑of‑goods‑sold (COGS) across payers to identify trends, benchmarking insights, and strategic implications for CVS's reimbursement position. In addition, the role will support analyzing the impact of proposed and emerging policy or regulatory changes, translating complex market signals into actionable insights that guide strategic decision‑making and ensure CVS remains prepared for future shifts in the pharmacy and healthcare environment.
Key Responsibilities
- Conduct rigorous payer COGS analyses to assess competitive pharmacy reimbursement dynamics across the market
- Develop competitive benchmarking insights by comparing CVS's COGS position to other payers and pharmacy providers, and identifying key gaps
- Identify trends and emerging patterns in payer-level COGS to surface competitive risks/opportunities and inform strategic decision-making
- Evaluate proposed and emerging regulatory, legislative, and policy changes to determine impacts on reimbursement, pharmacy operations, and enterprise economics, translating findings into actionable recommendations
- Partner cross-functionally (e.g., Strategy, Government Affairs, Finance) and deliver clear presentations/reporting that communicate scenarios, implications, and recommendations to leadership stakeholders
Required Qualifications
- 2+ years of experience in analytics, finance, strategy, or consulting, with demonstrated critical thinking and structured problem-solving skills
- Strong understanding of how value is created in complex financial or commercial models, including the ability to identify key economic levers and trade-offs
- Proven ability to work independently in ambiguous environments, driving work end-to-end and delivering results
- Strong project management capabilities, including prioritization, stakeholder coordination, and meeting deadlines, plus clear written and verbal communication skills
- Experience navigating relational databases, with working knowledge of SQL and/or Python
Preferred Qualifications
- Experience in healthcare, pharmaceuticals, pharmacy, or the PBM landscape strongly preferred
- Background in management consulting, corporate strategy, or advanced financial analytics
- Experience building or enhancing complex deal, market, or scenario‑based models
Education: Bachelor's degree or equivalent experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$66,330.00 - $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: 05/15/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job ID: 83646313
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Data is collected and updated regularly using reputable sources, including corporate websites and governmental reporting institutions.
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