Manager VBC Analytics Medicaid

Location: CT - Hartford, TX - Irving, RI - Cumberland, AZ - Scottsdale, IL-Northbrook

Remote Type: Remote/Hybrid

Time Type: Full time

Job Description

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.

Position Summary

Aetna is recruiting for a Manger on the Medicaid VBC Analytics team to support VBC partnerships throughout Aetna’s Medicaid segment to deliver on Aetna’s Medicaid VBC strategy. As an individual contributor, you will partner collaboratively and cross functionally with Network, health plan and VBC strategy customers as well as multiple business areas and other team members to promote the development, growth and operationalization of effective value based contracts across Aetna’s Medicaid plans.

Responsibilities may include:  Querying and analysis of complex provider claim, financial and other data to support VBC negotiations/renegotiation and ideation of new VBC arrangements. Creation of reports, models and analysis including financial performance. Support the administration of established VBCs including setup, financial reconciliation, payment support, and problem-solving.

We are seeking a detail-oriented individual with superior analytical and problem-solving skills who has strong organizational skills, attention to detail and ability to work independently based on strategic direction. This person should be able to drive resolution across internal and external stakeholders. In order to be successful in this role, they should be able to react quickly, change focus when needed, and handle multiple priorities in a fast-paced environment. Someone who desires to be a member of dynamic team of individuals who work closely together in support of common goals.

Required Qualifications

• 5+ years of prior healthcare analytics work experience
• Proficiency in excel
• Experience in translating complex data into actionable information and communicate effectively to varied audiences
• Strong written and verbal communication skills

Preferred Qualifications

• Experience querying and working with large data sets such as claims data.
• Prior experience handling financial data – claim, revenue, restatement, etc.
• Prior experience in Medicaid managed care and/or value based care. Knowledge of managed care, provider contracts and provider reimbursement methodologies.
• Understanding of managed care and how provider reimbursement policies relate to the control of medical claims costs.

Education

• Bachelor’s degree in business, finance, mathematics or related field, or equivalent work experience required

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 – 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 https://jobs.cvshealth.com/us/en/benefits

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