Manager of Configuration & Claims Analytics

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. The Manager of Configuration & Claims Analytics is a core member of the Configuration and Claim Research unit within a Medicaid Managed Care organization. This role is responsible for ensuring accurate benefit, contract, and claim edit configuration within the claim processing system, supporting compliant and efficient claim processing. The Manager proactively identifies trends, analyzes configuration impacts, and recommends solutions to prevent claim errors and operational disruptions. This position also plays a critical role in investigating issues, coordinating updates, supporting state complaint responses, and driving continuous improvement across claim operations. The role collaborates closely with Configuration leadership—including the Senior Manager—as well as cross‑functional partners such as Provider Relations, Claims, Appeals & Grievances, and Compliance. This is an individual contributor role.