Manager, Medical Economics

CVS Health • Nashville, TN • 3h ago

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.

Position Summary

CVS Heath is growing and we are looking for a Medical Economics Manager. The person who fills this role will have exceptional communication skills, able to connect bridging data assets to business requirements and technical implementation. The ideal candidate brings experience in healthcare data or informatics and brings a collaborative approach with our many stakeholders across the organization.

What You'll Own

Support the execution of data governance activities as they relate to the Aetna Data Lakehouse assets on Google Cloud Platform. Activities will include domain ownership of Aetna claims data, data quality initiatives and best practices as well as managing the communication strategy out to our Finance colleagues.

Create and manage data quality reviews.

Work with stakeholders to create common definitions around financial enrichments with goal of business line parity.

Collaboration with DDAT Data Governance teams to align Enterprise goals and tooling with Aetna Lakehouse data assets.

Collaborate with Data Stewards to support Data Portal.

Offer expert knowledge and insight into Aetna data to DDAT partners and Aetna Finance partners.

Required Qualifications

3-5 years of finance, informatics or relevant experience, ideally in analytical or operationally-focused roles.

Subject matter expert with claims and membership data within Aetna Data Warehouse.

Advanced skills in SQL and Web-based query tools.

Preferred Qualifications

Basic knowledge of claims data within source data from ACAS, HRP and QNXT adjudication platforms.

Experience with data quality, creating and managing materiality metrics.

Basic knowledge of financial systems and reporting, forecasting, financial modeling, and trend analysis.

Education

Bachelors Degree

This remote role does not provide sponsorship.

Anticipated Weekly Hours

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 (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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