Senior Manager, Medical Economics
About The Position
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. Aetna Medical Economics Unit (MEU) has an exciting opportunity for a Senior Informatics Manager to join our Performance Guarantee and Operational Reporting Team. The Operational Reporting and Analytics team within MEU is responsible for operational measurement and analysis for all Care Management programs. The role is responsible for ensuring the accuracy, consistency, and integrity of measure specifications, validation processes, and reporting outputs that support clinical performance guarantee reporting. The Senior Informatics Manager will serve as a key liaison across business, clinical, underwriting, reporting, and technology teams to drive alignment on measure logic, data requirements, validation findings, and implementation strategies. Furthermore, this role will support efforts to drive continuous improvement.
Requirements
- 7+ years of experience in reporting and analytics with advanced SQL development, data modeling, and data transformation experience
- 4+ years of Experience working within cloud data ecosystems, including GCP, AWS, or Microsoft Azure.
- 4+ years of experience querying, analyzing, and transforming data using BigQuery or other enterprise cloud data warehouse platforms.
- Strong critical thinking, problem-solving, and cross-functional communication skills.
Nice To Haves
- Knowledge of Power BI, QuickBase, and/or Python.
- Experience working with Care Management or other healthcare data domains.
Responsibilities
- Develop and maintain clinical performance report logic/code and report production
- Compile detailed reporting requirements, understand clinical programs and workflows as well as data sources.
- Track progress against performance targets.
- Evaluate outcomes and communicate progress to stakeholders.
- Collaboration with Underwriting and Business Stakeholders.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Associate degree
