Senior Manager, Medical Economics, CVS Health

CVS Health

Location:
United States

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

67900.00 - 199144.00 USD / Year

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Job Description:

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.

Job Responsibility:

Strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC)
Ensure VBC arrangements function successfully and work to improve quality of care while reducing costs
Serve as analytics partner for VBC contracts
Provide medical cost and outcomes focused analytical research, financial modeling, and business decision support
Understand terms of VBC arrangements to answer questions, address issues, and provide analytical support
Establish and maintain productive relationships with complex/high value provider systems
Educate internal and external parties to ensure compliance with contract terms
Influence workflow development and strategies to integrate data and reporting
Drive provider performance and partner with local market
Leverage reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets
Perform complex financial assessments
Identify areas for improvement and drive strategy consultation
Advise network partners on value-based negotiations, deal terms and best practices
Mentor team members
Represent business on special projects

Requirements:

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

Nice to have:

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

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
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:
October 23, 2025

Expiration:
November 24, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, Medical Economics