Manager, Medical Economics

CVS Health•Charleston, WV

1d•$54,300 - $119,340

About The Position

The role supports the West Virginia Finance team by delivering reporting, analytics, and business insights that help improve operational performance, inform strategic decision-making, and strengthen plan financial and operational performance. This position partners with peers, leadership, and other cross-functional teams to identify business needs, analyze data, and develop reporting solutions that support cost management, compliance, and market competitiveness. This individual will be responsible for supporting and advancing several critical areas of work, including recurring monthly, quarterly, and annual reporting, responding to rate setting and audit requests, member and financial variance analysis, capitation support and managing ad-hoc requests as needed. Key contributions in this role include improving reporting processes, validating and managing provider and business data from multiple sources, developing analyses and models to assess business opportunities and the impact of strategic decisions, and collaborating with stakeholders to identify market needs and operational priorities. The position is responsible for leveraging technology and data to improve workflows and support business decision-making. The ideal candidate brings strong technical, analytical and problem-solving skills, experience working with healthcare or network-related data, and the ability to translate business needs into clear reporting and insights. Must have in-depth knowledge of SQL. Preferred expertise includes BigQuery, SSRS, Power BI, or similar reporting and analytics platforms, along with experience building dashboards, automating reporting processes, and supporting data-driven business initiatives. This role requires an individual who can work independently, lead initiatives with minimal oversight, and proactively drive meaningful changes that improve reporting, analytics, and business processes. Must be able to complete daily required tasks while being responsive to immediate requests.

Requirements

3–5 years of finance, informatics or relevant experience, ideally in analytical or operationally‑focused roles.
Advanced skills in SQL and Web-based query tools.
Strong ETL skills and knowledge.
Experience collecting, validating, and analyzing data from multiple sources and vendors to support business decisions.
Ability to identify trends, develop insights, and translate data into clear recommendations for stakeholders.
Strong attention to detail with a focus on data accuracy, consistency, and completeness.
Effective written and verbal communication skills, including the ability to work with cross-functional partners and present findings clearly.
Ability to manage multiple priorities, work independently, and support initiatives with minimal oversight.
Strong problem-solving and decision-making skills.
In-depth knowledge of SQL.

Nice To Haves

Experience working with healthcare or network-related data.
Preferred expertise includes BigQuery, SSRS, Power BI, or similar reporting and analytics platforms.
Experience building dashboards.
Experience automating reporting processes.
Experience supporting data-driven business initiatives.
Experience working with Insurance related data.

Responsibilities

Delivering reporting, analytics, and business insights to improve operational performance, inform strategic decision-making, and strengthen plan financial and operational performance.
Partnering with peers, leadership, and cross-functional teams to identify business needs, analyze data, and develop reporting solutions.
Supporting recurring monthly, quarterly, and annual reporting.
Responding to rate setting and audit requests.
Performing member and financial variance analysis.
Providing capitation support.
Managing ad-hoc requests.
Improving reporting processes.
Validating and managing provider and business data from multiple sources.
Developing analyses and models to assess business opportunities and the impact of strategic decisions.
Collaborating with stakeholders to identify market needs and operational priorities.
Leveraging technology and data to improve workflows and support business decision-making.
Working independently, leading initiatives with minimal oversight, and proactively driving meaningful changes.
Completing daily required tasks while being responsive to immediate requests.