Manager VBC Analytics Medicaid jobs in United States
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CVS Health · 19 hours ago

Manager VBC Analytics Medicaid

CVS Health is dedicated to building a world of health around every individual, creating a more connected and compassionate health experience. They are seeking a Manager on the Medicaid VBC Analytics team to support VBC partnerships and operationalize effective value-based contracts across Aetna’s Medicaid plans.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Querying and analysis of complex provider claim, financial and other data to support VBC negotiations/renegotiation and ideation of new VBC arrangements
Creation of reports, models and analysis including financial performance
Support the administration of established VBCs including setup, financial reconciliation, payment support, and problem-solving

Qualification

Healthcare analyticsExcel proficiencyData translationFinancial data handlingMedicaid managed careCommunication skillsProblem-solving skillsOrganizational skills

Required

5+ years of prior healthcare analytics work experience
Proficiency in excel
Experience in translating complex data into actionable information and communicate effectively to varied audiences
Strong written and verbal communication skills
Bachelor's degree in business, finance, mathematics or related field, or equivalent work experience required

Preferred

Experience querying and working with large data sets such as claims data
Prior experience handling financial data – claim, revenue, restatement, etc
Prior experience in Medicaid managed care and/or value based care. Knowledge of managed care, provider contracts and provider reimbursement methodologies
Understanding of managed care and how provider reimbursement policies relate to the control of medical claims costs

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase