Senior Manager, Informatics

Senior Manager, Medicare Business Analytics

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.

The Senior Manager, Medicare Business Analytics is a senior individual contributor on Aetna's Medicare Advantage Performance Management Business Analytics team, serving as a player‑coach and senior analytics lead across the team's portfolio of analytics, reporting, and insight‑generation work. This role does not own a single fixed deliverable; instead, it flexes across the team's full body of work, financial performance analytics, competitive intelligence, dashboard development, growth and enrollment analytics, footprint and submarket analysis, and ad‑hoc executive requests, bringing senior‑level technical depth and leadership to whichever initiatives most need it.

The incumbent is expected to drive results and rally the team behind specific initiatives, stepping in as a hands‑on contributor on complex technical problems while simultaneously mentoring junior and mid‑level analysts, raising the technical bar across the team, and ensuring that high‑priority deliverables land on time and at executive‑ready quality. They will partner closely with the Lead Director to identify where the team needs senior horsepower, whether that's unblocking a stalled workstream, leading a multi‑quarter modernization effort, standing up a new analytical capability, or representing the team in cross‑functional forums and then own that work end‑to‑end.

This is a high‑visibility, high‑trust role that requires someone who can move fluidly between deep technical execution and team leadership, who is comfortable operating with ambiguity, and who can be deployed against whatever the team's most important problem is at any given time.

Key Responsibilities

• Serve as a player‑coach, balancing hands‑on individual contribution with mentorship, technical guidance, and informal leadership of mid‑level and junior analysts on the team.
• Lead high‑priority initiatives end‑to‑end, taking ownership of scoping, execution, stakeholder management, and delivery for whichever workstreams require senior leadership at any given time.
• Drive results across a broad and shifting portfolio, including (but not limited to) executive and market‑facing dashboards, growth and enrollment analytics, financial performance reporting, competitive intelligence, footprint and submarket analytics, and ad‑hoc executive requests.
• Rally the team behind key initiatives by setting direction, breaking down complex problems into actionable workstreams, coordinating contributors, and holding the team accountable to milestones and quality standards.
• Raise the technical bar across the team through code review, design partnership, documentation standards, and proactive identification of opportunities to automate, simplify, or modernize existing processes.
• Partner with the Lead Director to triage incoming demand, prioritize the team's roadmap, and surface risks, dependencies, and resourcing tradeoffs.
• Represent the team in cross‑functional working groups with Actuarial, Product, Sales/Retention, Performance Management COE, and DDAT, translating between business stakeholders and the analytics team.
• Translate complex analyses into executive‑ready narratives suitable for AVP and SVP‑level audiences, and coach team members in doing the same.
• Identify and lead continuous improvement opportunities across the team's tooling, processes, and reporting standards including automation, data validation frameworks, documentation, and modernization of legacy assets.
• Operate with flexibility and ownership in an environment where priorities shift, taking on whatever work most needs senior leadership without being constrained to a fixed scope.

Required Qualifications

• 7+ years of progressive experience in healthcare analytics, business intelligence, or informatics, with at least 3 years in a senior individual contributor or technical lead capacity.
• Demonstrated experience designing, building, and maintaining executive‑level dashboards and recurring analytical deliverables in a regulated healthcare environment.
• Advanced proficiency in SQL and at least one BI/visualization platform — Tableau and/or Power BI required.
• Working knowledge of Medicare Advantage business fundamentals: enrollment lifecycle (BOP/EOP, lapses, new sales), PBP structure, county/submarket mapping, and AEP timelines.
• Proven ability to design data validation, reconciliation, and automation processes for recurring reporting deliverables.
• Strong written and verbal communication skills, with demonstrated ability to translate complex analyses into concise executive‑ready narratives for senior leadership.
• Experience partnering with cross‑functional stakeholders including Actuarial, Product, Sales/Retention, and IT/Engineering teams.

Preferred Qualifications

• Direct experience supporting Medicare Advantage bid strategy, rate announcement analysis, or CMS rate methodology interpretation.
• Familiarity with Aetna/CVS Health data ecosystems.
• Experience with Python for data validation, dashboard automation, or supplemental reporting workflows.
• Hands‑on experience with Google Cloud Platform (GCP) data environments, including data ingestion, validation frameworks, and credential management.
• Exposure to competitive intelligence analytics, CMS Landscape file analysis, and Medicare market footprint reporting.
• Experience with GitHub‑based development workflows and production deployment processes for analytics assets.
• Knowledge of CMS Star Ratings methodology, IRA impacts, LIS/Extra Help policy, and SNP/GE plan requirements.
• Experience managing data governance topics such as sensitive field handling (e.g., MBI), policy tags, and access controls in BigQuery.
• Prior experience in a player‑coach or technical lead role mentoring junior analysts.

Education

• Bachelor's degree required in a quantitative or analytical discipline such as Mathematics, Statistics, Computer Science, Data Analytics, Informatics, Health Informatics, Actuarial Science, Economics, or a related field.
• Master's degree in Business Analytics, Data Science, Health Informatics, Public Health, or MBA preferred.
• Equivalent combination of education and directly relevant professional experience will be considered.

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.