Manager VBC Analytics

9025 CVS Shared Services Resources LLC; Rogers (AR); Remote; USD 54,000 - 146,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Manager, Medicaid Value-Based Care Analytics to support value-based provider arrangements across Aetna's Medicaid business. You will collaborate with Network, Health Plan, and VBC Strategy teams to drive growth, optimization, and measurable improvements in quality and cost.

This role emphasizes strong analytical capabilities, healthcare business acumen, and the ability to translate data into strategic recommendations for leadership.

Qualifications

• 5+ years of relevant professional experience in healthcare analytics, finance, value-based care, provider contracting, or a related field.
• Strong analytical, critical thinking, and problem-solving skills with attention to detail.
• Ability to manage multiple priorities in a fast-paced environment.
• Excellent written and verbal communication skills.
• Experience developing and executing SQL queries in BigQuery, SQL Server, or similar platforms.

Responsibilities

• Analyze complex provider, claims, financial, and operational data to support value-based care negotiations and new provider arrangements.
• Develop and maintain SQL queries, reports, dashboards, and analytical models.
• Support administration and ongoing management of value-based care agreements, including financial reconciliations and performance monitoring.
• Partner with cross-functional stakeholders to improve provider performance and contract effectiveness.
• Translate complex data into actionable insights for leadership.

Skills

SQL queries

Healthcare analytics

Data analysis

Cross-functional collaboration

Communication

Education

Bachelor's degree in Data Analytics/Business/Healthcare

Tools

BigQuery

SQL Server (SSMS/T-SQL)

Google Cloud Platform (GCP)

Job description

About the role

We’re building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you’ll 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 - helping to simplify health care one person, one family and one community at a time. At Aetna, a CVS Health company, we are committed to transforming healthcare and improving outcomes for the communities we serve. We are seeking a Manager, Medicaid Value-Based Care (VBC) Analytics to support value-based care partnerships across Aetna's Medicaid business and help advance our Medicaid VBC strategy. In this individual contributor role, you will collaborate with Network, Health Plan, and Value-Based Care Strategy teams, along with a broad range of cross-functional partners, to support the development, implementation, growth, and optimization of value-based provider arrangements. The ideal candidate combines strong analytical expertise with healthcare business acumen and a passion for driving measurable improvements in quality, cost, and provider performance.

What You Will Do

• Analyze complex provider, claims, financial, and operational data to support value-based care negotiations, renewals, and the development of new provider arrangements.
• Develop and maintain SQL queries, reports, dashboards, and analytical models to evaluate financial and operational performance.
• Support the administration and ongoing management of value-based care agreements, including implementation activities, financial reconciliations, performance monitoring, payment support, and issue resolution.
• Partner with cross-functional stakeholders to identify opportunities to improve provider performance, enhance contract effectiveness, and achieve value-based care objectives.
• Translate complex data into meaningful business insights and actionable recommendations for stakeholders and leadership.

Required Qualifications

• 5+ years of relevant professional experience in healthcare analytics, finance, value-based care, provider contracting, or a related field.
• Strong analytical, critical thinking, and problem-solving skills with exceptional attention to detail.
• Demonstrated ability to manage multiple priorities, adapt quickly to changing business needs, and work effectively in a fast-paced environment.
• Excellent organizational, written, and verbal communication skills.
• Ability to independently drive workstreams while collaborating across internal and external stakeholder groups.
• Experience developing and executing SQL queries in environments such as BigQuery, SQL Server (SSMS/T-SQL), or similar database platforms.
• Experience converting, optimizing, and validating SQL-based analyses, queries, and stored procedures across cloud-based analytics environments while ensuring data integrity and performance optimization.
• Ability to communicate complex analytical findings to both technical and non-technical audiences, including senior leadership.

Preferred Qualifications

• Experience working with large healthcare datasets, including medical and pharmacy claims data.
• Experience analyzing healthcare financial performance, including revenue, reconciliations, utilization, and value-based performance measures.
• Knowledge of Google Cloud Platform (GCP).
• Experience supporting Medicaid managed care, value-based care programs, provider contracting, or alternative payment models.
• Understanding of managed care fundamentals and provider reimbursement methodologies.
• Advanced Microsoft Excel skills, including financial modeling and data analysis.
• Experience developing and presenting strategic recommendations and actionable insights to business leaders.

Education

Bachelor’s degree in Data Analytics, Business, Finance, Healthcare Administration, Economics, or a related field, or equivalent combination of education and experience required.

Key Details

• This remote role does not provide sponsorship
• Anticipated Weekly Hours 40
• Time Type Full time
• Pay Range The typical pay range for this role is: $54,300.00 - $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.

Benefits

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility

Diversity & Inclusion

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Closing Date

We anticipate the application window for this opening will close on: 10/26/2026

Company Culture

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.