Manager, Medical Economics, CVS Health

CVS Health

Location:
United States, Remote

Category:
Finance

Contract Type:
Employment contract

Salary:

54300.00 - 159120.00 USD / Year

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Job Description:

Manager, Medical Economics role at CVS Health focused on shaping cost-effective healthcare strategies through data-driven problem solving. The position involves working on high-impact projects like contract rate modeling that influence business decisions and improve patient outcomes.

Job Responsibility:

Lead complex medical economic initiatives from concept to completion
Drive innovation in cost management through development of analytical models, policies, and programs
Partner with Network Management to analyze contracted rates and identify actionable insights
Design market-specific provider reimbursement schedules
Deliver high-value reporting for risk assessment, budgeting, and forecasting
Coordinate rate approvals and pricing strategies for complex contractual arrangements
Communicate strategic insights across products, segments, and markets to diverse stakeholders

Requirements:

5+ years demonstrated leadership and/or project management experience
5+ years of healthcare and/or analysis experience
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
Understanding of internal and external database applications
Knowledge of market-place delivery (understanding of provider relationships)
Advanced communication/presentation skills
Advanced software and modeling skills, e.g. Microsoft Excel and Access, SAS
Strong analytical ability and familiarity with advanced financial and healthcare concepts
Ability to manage conflicting priorities and multiple projects concurrently
Bachelor's Degree or equivalent work experience required

Nice to have:

Extensive knowledge of managed care
Full comprehension of provider contracts
Understanding of internal and external database applications
Knowledge of market-place delivery
Advanced software and modeling skills

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 01, 2025

Expiration:
September 29, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Manager, Medical Economics