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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.
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.
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 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.
We anticipate the application window for this opening will close on: 10/26/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
