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CVS Health

Senior Manager - Aetna Pharmacy, Performance & Profitability

CVS Health, Atlanta, Georgia, United States, 30383


Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

This is a key strategic role responsible for support performance and profitability on the Aetna pharmacy team by driving high-performance pharmacy management across all Aetna lines of businesses. This position will collaborate with various actuarial and cross-functional teams to drive a consistent performance management process for review of financial and satisfaction metrics, creating transparency to executive leadership. This position will also support the valuation and review process of pharmacy initiatives that will drive optimized performance, and manage the strategic relationship between Aetna and Caremark.

Responsibilities include:

Lead/manage projects established to support goals identified in strategic and operating plans. Exhibit innovative use of resources.

Leverage various internal and external data sources to quantify risks/opportunities, as well as develop standardized meaningful reporting to executive leadership

Apply project management/organizational skills to stand up a formal cadence to value and review initiatives and communicate succinctly to senior leaders on valuation

Collaborate with business partners across the CVS Health enterprise to provide sound risk management advice and optimize enterprise value, leveraging strong communication and networking skills

Build and maintain pharmacy P&L reporting package

Analyze pharmacy trend drivers and determine opportunities to drive to low cost of care

Develop strategic relationships with all Aetna LOBs to create transparency and inform trend and forecast projections

Develop creative technical solutions to incorporate efficiencies into daily work

Required Qualifications

Bachelor's degree along with 5+ years relevant work experience

Must have actuarial exams passed

Strong communication skills

Ability to think creatively and use multiple data sources to assess and develop business strategies

Ability to effectively manage multiple priorities

Ability to collaborate with experts from other teams to better understand issues/drivers and how/why the impact may differ by line of business

Experience with large and detailed data sets

Preferred Qualifications

Experience in SAS or similar programs

Experience in pharmacy-related work

ASA/FSA credential

Knowledge of financial P&L

Knowledge of different Aetna segments and how unique components within each LOB impact P&L

Education

Bachelor's degree

Pay Range

The typical pay range for this role is:

$75,400.00 - $182,549.40

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)

We anticipate the application window for this opening will close on: 11/29/2024

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.