Senior 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.

Position Summary 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.

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.

Required Qualifications

• 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.

Preferred Qualifications

• Knowledge of Power BI, QuickBase, and/or Python.
• Experience working with Care Management or other healthcare data domains.

Education

• Bachelor's Degree or equivalent work experience required

Pay Range The typical pay range for this role is:

$82,940.00 - $182,549.00 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. This position also includes an award target in the company’s equity award program.

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.

We anticipate the application window for this opening will close on: 11/17/2026

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