Remote Medicaid Value-Based Care Analytics Lead

CVS Health Corporation; Connecticut; Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement savings

Job summary

CVS Health Corporation is seeking a Manager, Medicaid Value-Based Care Analytics to support value-based provider arrangements across Aetna's Medicaid business. You will analyze data, develop SQL-based models, and collaborate with cross-functional teams to optimize value-based care strategies.

The role emphasizes translating data into strategic insights for senior leadership, with a remote US-wide scope and a 40-hour workweek. Strong healthcare analytics and SQL skills are required.

Qualifications

• 5+ years of healthcare analytics, finance, or value-based care experience.
• Strong analytical, critical thinking, and problem-solving skills with attention to detail.
• Ability to manage multiple priorities in a fast-paced environment.
• Excellent organizational, written, and verbal communication skills.
• Experience developing and executing SQL queries across cloud-based environments.

Responsibilities

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

Skills

Healthcare analytics

SQL querying

Stakeholder communication

Project management

Data interpretation

Education

Bachelor’s degree in data analytics

Tools

BigQuery

SQL Server (SSMS/T-SQL)

Google Cloud Platform

Job description

CVS Health Corporation is seeking a Manager, Medicaid Value-Based Care Analytics to support value-based provider arrangements across Aetna's Medicaid business. You will analyze data, develop SQL-based models, and collaborate with cross-functional teams to optimize value-based care strategies.

The role emphasizes translating data into strategic insights for senior leadership, with a remote US-wide scope and a 40-hour workweek. Strong healthcare analytics and SQL skills are required.