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
This position will support the Utilization Management Performance Management team. The core responsibility of this role will be to lead the operational and financial performance evaluation across Aetna’s Utilization Management programs to optimize the programs’ performance, identify new opportunities and accurately explain the financial value and impact to the organization. This role will also be responsible for building and maintaining staffing models which will substantiate changing levels of support required to support these programs.
Key responsibilities of this role include:
- Ownership of business case/value for utilization management programs, reflecting program changes, impact of evaluations, and refinement of value.
-Lead and build task-based staffing models for utilization management programs. Connect with the budgeting and forecasting process for the Aetna Clinical Solutions.
- Lead and build on performance review executive reporting to provide holistic, end to end view and insights and observations into overall performance of programs including program ROIs.
- Establish program optimization framework and insights to drive additional value and improve program effectiveness.
- Lead development and/or collaboration with key business partners on additional analytical tools and dashboards to provide early insights into potential outcomes and savings, identify potential opportunities, and to better enable informed operational decision making.
- Primary point of contact for performance management of UM programs
- Drive knowledge sharing and collaboration on performance management processes for other functional areas.
In order to be successful in this role you must exhibit the following:
-Advanced Excel skills with demonstrated experience developing custom analyses, models, and calculations to address ad hoc business needs.
-Ability to synthesize data, apply relevant assumptions and drivers, and build solutions from the ground up, rather than primarily working within established templates or recurring reporting processes.
- Excellent written and verbal communication skills.
- Strong technical, analytical, financial, and data manipulation and visualization skills.
- Ability to thrive in a constantly evolving environment with competing priorities and deadlines.
- Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined.
- Provide thoughtful leadership and collaboration with both internal and external constituents.
Required Qualifications
- 5+ years of analytical/excel modeling related work experience.
- 5+ years of proficiency in Excel and PowerPoint.
Preferred Qualifications
-Advanced Excel skills with demonstrated experience developing custom analyses, models, and calculations to address ad hoc business needs.
-Ability to synthesize data, apply relevant assumptions and drivers, and build solutions from the ground up, rather than primarily working within established templates or recurring reporting processes.
- Programming (SAS, SQL, Tableau).
Education
- Bachelor's degree required or equivalent years of related experience.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$60,300.00 - $145,860.00This 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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 5+ years of analytical or Excel modeling-related work experience
- 5+ years of proficiency in Excel and PowerPoint
- Bachelor's degree or equivalent years of related experience
- Advanced Excel skills developing custom analyses, models, and calculations
- Ability to synthesize data, apply assumptions and drivers, and build solutions from the ground up
- Programming experience with SAS, SQL, or Tableau
- Strong written and verbal communication skills
- Strong technical, analytical, financial, data manipulation, and visualization skills
- Ability to manage competing priorities and deadlines in an evolving environment
- Strategic thinking and creative problem-solving for undefined challenges
- Leadership and collaboration with internal and external stakeholders
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
CVS Health Insights
What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
