Senior Manager, Population Health

Job DescriptionThe Senior Manager of Population Health will be responsible for strategizing and leading data organization, structure, and analysis to support actionable insights resulting in improved access to care, improved outcomes, and cost savings. Working under the direction of the Director of Quality and Population Health, this position identifies, develops, and implements strategic NCQA-based Population Health programs that support Aetna Better Health/CVS vision and short-and-long term goals specific to health outcomes of members with chronic diseases and disadvantaged populations of focus. This role is critical in supporting internal and external health equity efforts to reduce disparities.This role will work within a context of a multidisciplinary team of both internal and external stakeholders, identify opportunities to enhance member outcomes through collaborative initiatives that address gaps in care, and strengthen Plan relations with external stakeholders at both the public health and community levels to advance health equity initiatives for the organization. These partnerships with external stakeholders include federal, state, and local levels, and are necessary to advance the organization's interests, and ongoing contracted, provider and vendor delivered programs with a focus on quality, accessibility, sustainability, and integration within Aetna Better Health.- Previous experience in project management, healthcare economics, and data analysis Ability to research and analyze information, problems, situation and procedures to define objectives, identify patterns, and formulate conclusions Excellent problem resolution abilities Solid supervisory background, including selection, training, delegating, motivating, performance appraisal, career counseling and discipline Experience in clinical planning, financial analysis and business planning Background in a major research-oriented school Track metrics and develop targeted solutions to increase member engagement. Leads implementation of population health activities related to pilot programs. Skilled in analyzing gaps in care related to HEDIS measures and integrating into population health programs and initiativesAbility to work in a matrix environment knowledgeable in incorporating population health metrics in designing value based programsVery strong understanding of clinical programs and pop health initiatives such as HEDIS, STARS, P4PProven track record of clinical program rollouts for small and large populationsExtensive experience with various member and population health management softwareAdvanced MS Office, various reporting tools, and presentation skillsExcellent written and verbal communication skillsA strong work ethic and an ability to work well in a team-based environment.Leads key strategic and transformative initiatives around Population Health and Health EquityPartners with clinical and business leadership to drive cost of care utilization management by identifying disparity populations and opportunities; assists with designing action plans and developing /tracking key performance indicators- Facilitate efforts with all levels of the organization - clinical, financial, administrative, and information systems - that employ member data in decision-making and everyday operations by improving clinical and analytical reporting.- Create and develop processes to address health disparities- Activities include identifying disparity populations, designing strategic interventions, and establishing key measurement indicators.Pay RangeThe typical pay range for this role is:Minimum: 75,400Maximum: 158,300Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications- 4+ plus years of experience in managed care, public health, or other clinical/medical background in healthcare that is relevant to the Medicaid population.- Experience leading performance improvement initiatives and teams: track record in making data driven decisions and implementing successful operational improvements- Strong organizational, communication, presentation and leadership skillsCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Masters Degree in Public health or related fieldEducationBachelor's degree from an accredited college or equivalent work experience is requiredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04