Manager - Medical Economics

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

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.

• Understand the terms of the VBC arrangements to answer questions, address issues, and provide analytical support
• Responsible for establishing and maintaining productive, professional relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, networks and value-based relationships
• Sets the tone for the VBC relationships for both internal and external partners
• Educates internal and external parties as needed to ensure compliance with contract terms and expectations
• Assists with workflow development and strategies to integrate data and reporting
• Works independently to manage relationships and identify/implement solutions to problems
• Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
• Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets
• Able to perform complex financial assessments
• Identifies areas where improvements need to be made
• Advocates-for and drives strategy consultation on actions/tactics to make those improvements
• Able to advise/counsel network partners on value-based negotiations, deal terms and best practices
• May serve as a mentor to team members assisting with onboarding and problem solving
• May be assigned to represent the business/function on special projects
• This is an individual contributor role

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company's business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:

• Bachelor's degree along with 3+ years related experience
• Prior Healthcare experience
• Experience with Microsoft Office suite, especially Excel
• Experience with SQL, working with large and detailed data sets
• Strong communication skills
• Strong analytic and time management skills
• Demonstrates success in collaborating with others to meet/exceed expectations

Preferred Qualifications

• Experience in Medicare Advantage and/or Value Based Contracting
• Ability to remain flexible with ever changing priorities
• Strong collaboration skills working across various teams
• Ability to communicate effectively with all levels
• Experience with SQL, working with large and detailed data sets

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$60,300.00 - $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: 10/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Atlanta, GA

Job ID: CVS-R0694203_1001

Employment Type: FULL_TIME

Posted: 2025-08-22T19:47:34