Manager, VBC Analytics - Capitation

CVS Health • Hartford, CT

3d

About The Position

The Manager, VBC Analytics - Capitation works with the Capitation Center of Excellence (COE) to help ensure accurate and timely monthly capitation payment submissions and processing. The role turns complex data into decisions that improve payment accuracy, strengthen processes, and support financial outcomes, including monthly general ledger close activities. It partners with Network, Accounting, Finance, Product and Benefits, technology teams, the capitation system vendor, and other stakeholders to execute capitation cycles, analyze payment results, and resolve issues.

The position requires strong analytical and critical-thinking skills, close attention to detail, and the ability to manage multiple priorities with urgency in a fast-paced, deadline-driven environment. The role uses GCP to extract data and Excel to summarize and analyze information with pivot tables, formulas, and lookup functions. Strong collaboration, communication, presentation, and follow-through skills are essential.

Requirements

• Three or more years of experience directly related to the responsibilities of the role, or an equivalent combination of education and relevant work experience.
• Strong interpersonal, relationship-management, written communication, and presentation skills.
• Demonstrated project leadership, critical-thinking, and data-analysis capabilities.
• Advanced proficiency in Excel and working knowledge of Microsoft Office applications.
• Demonstrated experience developing tools and implementing process improvements.
• Proficiency using GCP to extract data and Excel to summarize and analyze data using pivot tables, formulas, and lookup functions.
• Ability to manage multiple priorities with urgency in a fast-paced, deadline-driven environment.

Nice To Haves

• Knowledge of capitation processes and related payment, contract, or configuration systems, including EPDB, SCM, and ACAS.
• Knowledge of SQL and other analytical and development tools.

Responsibilities

• Initiate and monitor monthly capitation production cycles.
• Analyze large data sets to identify payment errors, variances, and drivers of change.
• Determine root causes, communicate findings, and recommend actions to internal teams and, when appropriate, external providers.
• Participate in technical troubleshooting with programmers who support the capitation platform.
• Develop reports, tools, and process improvements for team and management use.

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• Eligibility for a CVS Health bonus, commission, or short-term incentive program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed