Manager, Medical Economics

to isolate and troubleshoot issues post capitation run and share findings across teams and the cap system vendor. Issues such as drivers of change and root cause. Must be comfortable working in high paced environment as capitation payments issued and reporting must keep to a monthly cycle. Individual will be present in meetings with programmers that support the capitation system during troubleshooting discussions. Individual must be able to multi-task and work with urgency during monthly cap runs. Must be able to work with large amounts of data as position requires pulling data and summarizing results using Coginity. Individual will be required to present issues and finding to internal team and at times external providers. Must be able to demonstrate critical thinking ability and see issues, tasks to completion. Individual must be able to work in Excel using pivots, formulas, and lookups.

Required Qualifications

3+ years' experience directly related to the duties and responsibilities specified, or an equivalent combination of education and work experience.

Very strong interpersonal, relationship management, writing and presentation skills, Proven project leadership experience, critical thinking and data analysis.

Must have knowledge and strong user of Excel and comfort with MS Office applications.Preferred Qualifications

Strong knowledge of EPDB, SCM, Capitation, ACAS, preferred.

Knowledge of SQL, Excel and comfort with MS Office applications.

Education

Bachelor's degree or equivalent experienceThis remote role does not provide sponsorship at this time.Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$54,300.00 - $145,860.00This 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.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 peopleWe 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:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 08/25/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.