Senior Manager, Medical Economics

Job not on LinkedIn

🕒 August 28

🦌 Connecticut, Florida, +10 more states – Remote

🦌 Connecticut – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote

💵 $82.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 32%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Analyze medical costs, quality outcomes, and utilization drivers to support value-based primary care • Plan, conduct, and lead analyses of healthcare claims data to identify root causes of trends and anomalies • Translate complex datasets into actionable strategies for executive and field leadership • Develop financial models and forecasts related to healthcare costs and utilization • Project future healthcare expenditures, estimate potential savings, and evaluate the financial impact of clinical initiatives and interventions • Design and maintain comprehensive reports and dashboards monitoring key performance metrics and economic drivers • Collaborate with Finance, Clinical, and Data Science teams to identify cost-saving opportunities and optimize value-based payment models • Evaluate value-based care initiatives on medical cost and quality outcomes to assess clinical and financial ROI • Partner with Data Engineering to develop long-term data assets and infrastructure for scalable advanced analytics • Ensure analyses and reporting comply with regulatory requirements and industry standards for medical economics

🎯 Requirements

• 7 years of experience in quantitative analysis, healthcare analytics, or medical economics within the healthcare or payer industry • Deep subject matter expertise in value-based care, population health, and medical claims data (ICD-10, CPT) • Advanced proficiency in SQL for complex data extraction, manipulation, and analysis • Proven track record of leading cross-functional teams and presenting executive-ready insights to C-suite and clinical leadership • Exceptional problem-solving, decision-making, and project execution skills • Proficiency with business intelligence tools such as Tableau or Power BI (preferred) • Experience in value-based care analytics for Medicare Advantage and Traditional Medicare programs, such as ACO REACH and MSSP (preferred) • Bachelor’s degree in a STEM field, finance, economics, or a related analytical discipline

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility