Manager, Medical Economics

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.

Summary 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.

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. Must possess 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 Preferred Qualifications Experience working with Insurance related data Education Bachelors degree or equivalent work experience Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 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