: Specialty Program Outcomes Advisor
1 CVS Drive
Woonsocket, RI 02895

Employee Testimonials

CVS Health testimonial
CVS Health testimonial


Job Description
Do you want to make an impact on a team and be a health care innovator? As a Specialty Program Outcomes Advisor, you will provide the analytic support and leadership for the client guarantees, risk contracts, and requisite financial reconciliation negotiated across specialty management products. This role requires strong expertise in data analytics, including the analysis and reporting of financial and clinical outcomes from claims and survey data.

The successful candidate will work as a partner and peer advisor with sales, account management, underwriting, analytics, clinical affairs, and legal to ensure that program guarantees are thoughtfully established, reported, reconciled and presented to clients with the highest standards of ethical and professional conduct.

The Specialty Program Outcomes Advisor will:

Engage clients as related to guarantees across all specialty drug and patient management programs.
Provide tactical leadership, including methodological input, for customer financial settlements and reconciliations and ensures company is effectively reserving for various risk arrangements.
Communicate program outcomes to internal and external customers.
Interact with management, outside consultants, and employees to forward and represent the needs of the department.
Develop and/or refine contractual language to support program level guarantees in client agreements and RFP responses.
Drive cross-functional teams in the creation and development of innovative ways to meet and exceed client expectations related to guarantees and value assurances.

Position requires ability to travel as needed for meetings or other job-related events up to 20% once travel is approved. This is a work from home opportunity.

Required Qualifications
4+ years experience in healthcare
3 years working within an analytics function
2 years working with clients/customers

Preferred Qualifications
Experience analyzing large healthcare data sets using SQL, R, SAS, Python, or other analytic platforms
Intermediate level of proficiency in MS Office applications
Experience in methods of evaluation of clinical and pharmaceutical programs
Bachelors degree in Business, Epidemiology, Biostatistics, Policy, Pharmacy, Health Care Administration
Masters degree

Bachelors degree required

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.


Employee Testimonials

CVS Health testimonial
David L. Casey
Vice President, Workforce Strategies and Chief Diversity Officer

The military has an ethos that is grounded in purpose-driven service that’s bigger than the induvial. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve -- just in a civvies.

CVS Health testimonial
Susan Medina
Head of Executive Search & International Talent Acquisition

As a member of the CVS Health team I have the chance of a lifetime to work for a company with a purpose in which I truly believe. Who wouldn’t want to go to work every single day knowing that every conversation, every meeting, every email, every day will have an impact on someone, especially when that someone is likely a friend, a family member, a grandma, or even a stranger?