Manager, Medical Economics

Weu2019re building a world of health around every individual u2014 shaping a more connected, convenient and compassionate health experience. At CVS Healthu00ae, youu2019ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger u2013 helping to simplify health care one person, one family and one community at a time. Position Summary This fast-paced, high visibility, executive-focused analytical role will evaluate changes to medical policy and their interactions with our network relationships to support the overarching Medical Economic mission statement of reducing medical costs and medical costs trends to provide more affordable healthcare to Aetna and CVS Health members while improving quality and access. As part of the Medical Economics National team, you will have the opportunity to present key trends, financial performance, tools and analyses with a broad MEU audience (including direct exposure to VP-level leadership). The MEU National team is accountable for working collaboratively across MEU to analyze, draw conclusions, and communicate the financial impact resulting from changes in Aetnau2019s network provider agreements. + Individual contributor that applies wide-ranging knowledge and experience of own job area within business unit or function, and may have advanced knowledge and practical experience of specific technical areas applied within the context of a similar industry or type of organization. + Serve as a subjectu2011matter expert for transplant Institutes of Excellence (IOE) initiatives, provider reimbursement validation, and medical economics rental network reporting + Plans and sets objectives to deliver responsibilities that have a direct effect on the business results within the context of the functional area that the job is in. + Typically works independently and manages projects. Own recurring and adu2011hoc reporting used by leadership, audit, and crossu2011functional stakeholders + Requires strong communication skills, creating an environment of teamwork and continual process improvement internal to MEU and external constituents. + Provides Local Market support to Medical Expense Review teams on medical policy and provider topics Required Qualifications Bachelor's degree along with 3 - 5 years experience and knowledge of: Complex data collection, modeling & analysis. Experience working with Excel, MS-Access and Web-based query tools (SQL, BigQuery, etc.). Finance background Prioritizes & manages multiple projects while managing customer expectations and business priorities. Work collaboratively and build relationships with customers. Preferred Qualifications Knowledge of: + Extensive knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies. + Understanding of internal and external database applications. + Knowledge of market-place delivery (understanding of provider relationships). Skill in: + Advanced communication/presentation skills. + Advanced software and programming skills. Education Bacheloru2019s Degree in business, finance, or related field OR equivalent work experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $145,860.00 This 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 people We take pride in our comprehensive and competitive mix of pay and benefits u2013 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 We anticipate the application window for this opening will close on: 05/29/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran u2014 committed to diversity in the workplace.

Created: 2026-03-07