Senior Manager, Medical Economics

Position Summary

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. This position is accountable for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements function successfully and work to improve quality of care while reducing costs. This role will serve as the analytics partner for VBC contracts, working with both internal and external partners, to provide medical cost and outcomes focused analytical research, financial modeling, and business decision support.

Understand the terms of the VBC arrangements to answer questions, address issues, and provide analytical support.

Responsible for establishing and maintaining productive, professional relationships with the most complex / high value initiatives and / or highest risk and revenue generating provider systems, networks and value-based relationships.

Sets the tone for the VBC relationships for both internal and external partners.

Educates internal and external parties as needed to ensure compliance with contract terms and expectations.

Influence and / or assist workflow development and strategies to integrate data and reporting.

Works independently to manage relationships and identify / implement solutions to problems.

Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives.

Leverages reporting / data to monitor contract performance against financial, clinical, cost and efficiency targets.

Able to perform complex financial assessments.

Identifies areas where improvements need to be made.

Advocates-for and drives strategy consultation on actions / tactics to make those improvements.

Responsible for advising network partners on value-based negotiations, deal terms and best practices.

May serve as a mentor to team members assisting with onboarding and problem solving.

May be assigned to represent the business / function on special projects.

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company's business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes :

• Bachelor's degree along with 7+ years related experience
• Must have prior Healthcare experience
• 7+ years experience with Microsoft Office suite, especially Excel
• 7+ years demonstrated experience success analytic, strategic, and time management skills
• 5+ years demonstrated success in collaborating with others to meet / exceed expectations

Preferred Qualifications

Experience in Medicare Advantage and / or Value Based Contracting

Ability to remain flexible with ever changing priorities

Strong collaboration and organization skills working across various teams

Ability to communicate effectively with all levels

Experience with SQL, working with large and detailed data sets

Pay Range

The typical pay range for this role is : $67,900.00 - $199,144.00

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. This position also includes an award target in the company's equity award program.

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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 11 / 24 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. 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.