Medical Economics Lead — Value-Based Cost & Insights

CVS Health; Springfield (IL); On-site; USD 83,000 - 183,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Paid time off

Wellness programs

Equity award program

Job summary

CVS Health is seeking a Senior Manager of Medical Economics to lead analyses of medical costs, quality outcomes, and utilization drivers for value-based primary care. This role partners with clinical and financial stakeholders to translate data into strategies that optimize cost and performance.

Responsibilities include building financial models, forecasting expenditures, designing dashboards, and collaborating with Finance, Clinical, and Data Science teams.

Qualifications

• 7+ years of quantitative analysis or medical economics experience in healthcare.
• Deep knowledge of value-based care, population health, and medical claims data (ICD-10, CPT).
• Strong SQL skills for data extraction and analysis.
• Experience leading cross-functional teams and presenting to executives.
• Ability to translate data into actionable strategic insights.

Responsibilities

• Develop financial models and forecasts for healthcare costs and utilization.
• Project future expenditures and evaluate impact of clinical initiatives.
• Design and maintain reports and dashboards monitoring KPIs and drivers.
• Collaborate with Finance, Clinical, Data Science to find cost-saving opportunities.
• Assess ROI of value-based care initiatives.
• Partner with Data Engineering to build scalable analytics assets.
• Ensure analyses comply with regulatory standards.

Skills

Healthcare analytics

Value-based care

SQL proficiency

Executive presentation to C-suite

Cross-functional leadership

Education

Bachelor's degree in STEM/finance/economics

Advanced degree preferred

Tools

Tableau

Power BI

Job description

CVS Health is seeking a Senior Manager of Medical Economics to lead analyses of medical costs, quality outcomes, and utilization drivers for value-based primary care. This role partners with clinical and financial stakeholders to translate data into strategies that optimize cost and performance.

Responsibilities include building financial models, forecasting expenditures, designing dashboards, and collaborating with Finance, Clinical, and Data Science teams.