Job Description
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary Aetna's Revenue Integrity team is hiring
Mgr, Business Consultants to support our growing risk adjustment efforts.
Designs enterprise-wide and/or cross-functional solutions to address business efficiencies. This work results in initiatives that significantly impact departmental strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers.
Assists in managing the day-to-day complex business consultation services to support the organization's goals and objectives.
Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports.
Assesses files, reports, and financial records, and manages department record retention.
Communicates results by presenting findings through dashboards, reports, or visualizations to help decision-makers.
Provides exceptional customer service by responding to internal and external inquiries, resolving issues, or appropriately redirecting requests as needed.
Confers internally and externally with clients and senior management regarding the organization's goals and objectives.
Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.
Helps establish and implement strategic review processes ensuring continuous improvement, compliance, and high-performance standards are upheld.
**Work from home anywhere in the United States**
Required Qualifications 2 plus years of healthcare experience.
3 plus years of working knowledge of Tableau, Power BI, SQL, Athena, or other reporting and data visualization tools.
3 plus years of analytical skills for interpreting healthcare data, financial reports, and regulatory requirements.
Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, Project).
Practiced problem solving and decision making skills.
Adept at collaboration and teamwork.
** Work from home anywhere in the United States**
Preferred Qualifications 5-7 years work experience or specialized degree.
Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred.
Ability to leverage knowledge of statistics and computer science to support data-driven decision-making.
Education Bachelor's degree preferred specialized training/relevant professional qualification, or equivalent work experience.
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$66,330.00 - $145,860.00
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.
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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
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.
For more information, visit
We anticipate the application window for this opening will close on: 08/12/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job Tags
Remote job, Hourly pay, Full time, Temporary work, Work experience placement, Work at office, Local area, Flexible hours,