Senior Manager, Medical Economics & Value-Based Care

CVS Health; Charlotte (NC); Sur place; USD 83 000 - 183 000; Plein temps

Avantages offerts par ce poste

Bonus program

Equity awards

Comprehensive benefits

Résumé du poste

CVS Health in the United States seeks a Senior Manager of Medical Economics to lead analyses of medical costs, quality outcomes, and utilization drivers, translating data into actionable strategies for executive leaders.

You will build financial models, forecast expenditures, design dashboards, and partner with Finance, Clinical, and Data Science teams to support value-based care initiatives and regulatory compliance.

Qualifications

• 7 years of experience in quantitative analysis, healthcare analytics, or medical economics.
• Deep subject matter expertise in value-based care, population health, and medical claims data (ICD-10, CPT).
• Advanced proficiency in SQL for complex data extraction, manipulation, and analysis.
• Proven track record of leading cross-functional teams and presenting executive-ready insights to C-suite and clinical leadership.
• Exceptional problem-solving, decision-making, and project execution skills.

Responsabilités

• Develop financial models and forecasts related to healthcare costs and utilization for executive review and strategic planning.
• Project future healthcare expenditures, estimate potential savings, and evaluate the financial impact of various clinical initiatives and interventions.
• Design and maintain comprehensive reports and dashboards to monitor key performance metrics and critical economic drivers.
• Collaborate with cross-functional teams (Finance, Clinical, Data Science) to identify cost-saving opportunities and optimize value-based payment models.
• Evaluate the effectiveness of value-based care initiatives on overall medical cost and quality outcomes to assess clinical and financial ROI.
• Partner with Data Engineering to develop long-term data assets and infrastructure for scalable, advanced analytics enablement.
• Ensure all analyses and reporting adhere to regulatory requirements and industry standards for medical economics.

Connaissances

SQL

Value-based care

Cross-functional leadership

Healthcare analytics

Data storytelling

Formation

Bachelor's degree in STEM or related analytical discipline

Outils

Tableau

Power BI

Description du poste

CVS Health in the United States seeks a Senior Manager of Medical Economics to lead analyses of medical costs, quality outcomes, and utilization drivers, translating data into actionable strategies for executive leaders.

You will build financial models, forecast expenditures, design dashboards, and partner with Finance, Clinical, and Data Science teams to support value-based care initiatives and regulatory compliance.