Jobs in the United States

25+ jobs

Added 2 days ago
HCC Coding Manager
IKS Health
Virtual
The Coding Manager reports to the Director of Coding Services and leads the day-to-day delivery of remote coding services for an assigned portfolio of Value-Based Care (VBC) clients. This…
Added 2 days ago
Manager, VBC Analytics - Capitation
CVS Health
Hartford, CT
Added 3 days ago
Manager, VBC Analytics - Capitation
CVS Shared Services Resources LLC
Remote, United States
Added 4 days ago
AP
Account Manager Enterprise Partnerships, Alabama & Mississippi Gulf Coast
Aledade PBC
Remote, United States
- $90,000 to $100,000 USD / year
As our Account Manager, you will be the ultimate strategic partner, business coach, and advocate for the medical practices in your portfolio. You are the day-to-day anchor of these…
Added 4 days ago
AP
Account Manager Enterprise Partnerships, Utah/Montana
Aledade PBC
Remote, United States
- $90,000 to $100,000 USD / year
As our Account Manager, you will be the ultimate strategic partner, business coach, and advocate for the medical practices in your portfolio. You are the day-to-day anchor of these…
Added 4 days ago
AP
Account Manager Enterprise Partnerships, NE & Central Pennsylvania
Aledade PBC
Remote, United States
- $90,000 to $100,000 USD / year
As our Account Manager, you will be the ultimate strategic partner, business coach, and advocate for the medical practices in your portfolio. You are the day-to-day anchor of these…
Added 4 days ago
AP
Account Manager Enterprise Partnerships, Greater Philadelphia Area
Aledade PBC
Remote, United States
- $90,000 to $100,000 USD / year
As our Account Manager, you will be the ultimate strategic partner, business coach, and advocate for the medical practices in your portfolio. You are the day-to-day anchor of these…
Added 5 days ago
SH
Lead Analyst, Healthcare Economics
Strive Health
Denver, CO
- $99,000 to $124,000 USD / year
…economics expertise, and business acumen. Reporting to the Sr. Manager, Healthcare Economics, you’ll work closely with stakeholders across clinical operations, finance, actuarial, and data…
Added 9 days ago
Population Health and VBC Program Manager
ADELANTE HEALTHCARE INC
Phoenix, AZ
The Population Health and Value-Based Care Manager is responsible for developing and implementing strategies to optimize health outcomes for diverse populations served by Adelante…
Added 9 days ago
PH
Director, Clinical Performance
Pearl Health
Remote, United States
- $165,000 to $200,000 USD / year
…for a portfolio of Pearl's client ACOs, combining hands-on analytics with clinician-to-clinician credibility to drive measurable performance improvement - working hand-in-hand with our…
Added 10 days ago
Actuarial Analyst II
The Harbor Health Team Inc
Remote, United States
…the intersection of traditional actuarial science and data analytics, this role offers the unique opportunity to work cross-functionally across our ACA Individual & Family Plans, Large…
Added 13 days ago
R
Senior Product Manager, HIE, AI Suspecting, and Care Gap Management
Reveleer
Remote, United States
- $140,000 to $160,000 USD / year
Reveleer is hiring a Senior Product Manager to lead product for both the HIE & AI Suspecting and Care Gap Manager domains within our Clinical Intelligence Suite of VBC solutions. The HIE…
Added 16 days ago
Manager, Value-Based Care
Premier Community Healthcare Grp.
Dade City, FL
Premier Community HealthCare Group is seeking a strategic, mission-driven Manager, Value-Based Care (VBC) to lead value-based performance across our managed-care and Accountable Care…
Added 18 days ago
AC
Staff Healthcare Analyst
Abby Care
San Francisco, CA
- $180,000 to $220,000 USD / year
Reporting to the Senior Manager of Data & Analytics, you will set the strategy and standards for how we measure risk, cost, and outcomes, and build the analytical models and studies that…
Added 19 days ago
AP
Program Specialist, CMMI Programs
Aledade PBC
Remote, United States
- $80,000 to $92,000 USD / year
Reporting directly to the Center for Medicare and Medicaid Innovation (CMMI) Program Manager, the Program Specialist will be a pivotal contributor to the operational excellence and…
Added 20 days ago
Director, Product Innovation
1upHealth
Remote, United States
…compliance and investing significantly in the payer data and analytics space. We're looking for a seasoned healthcare product leader to identify the biggest opportunities in that market and…
Added 22 days ago
Manager VBC Analytics
CVS Health
Remote, United States
…improving outcomes for the communities we serve. We are seeking a Manager, Medicaid Value-Based Care (VBC) Analytics to support value-based care partnerships across Aetna's Medicaid…
Added 24 days ago
Manager, Quality & Value-Based Care
Together Women's Health, LLC
Grosse Pointe, MI
The Manager of Quality Performance & Reporting is responsible for leading the organization’s MIPS reporting, quality improvement initiatives, and payer quality incentive programs across…
Added 26 days ago
Product Manager, Product Management
Wellvana Integration Partners, LLC
TN
The Product Manager reports to the Director of Product Management and Innovation. This role serves as the product owner and is the primary liaison between internal stakeholders, end users,…
Added 27 days ago
AH
Senior Product Manager
Arbital Health
Remote, United States
- $185,000 to $215,000 USD / year
5+ years of experience in product management, actuarial, analytics, or a similar role, with at least 3 years as a product manager on B2B data, analytics, or financial software products
Added 27 days ago
Senior Technical Product Manager, Data Integrations/Pipeline
U.S. Renal Care, Inc.
Plano, TX
The Senior Technical Product Manager for Data Integrations /Pipeline is to focus on providing rich data to our
Added 27 days ago
TT
Manager, Business Development- Payor Partnerships
TRC Total Renal Care Inc
United States
- $95,000 to $135,000 USD / year
Manager, Payor Partnerships – Value-Based Care Business Development
Added 27 days ago
Senior Consultant, Health Care
COPE Health Solutions
New York City, NY
Project scopes may focus on clinical redesign, financial modeling, network development, strategic planning, data analytics and/or organizational transformation. This position requires an…
Added 27 days ago
Manager, Health Care Consulting
COPE Health Solutions
Downtown Los Angeles, CA
The Manager, Health Care Consulting will work closely with firm leadership to manage and support consulting engagements and business development opportunities. The Manager must be able to…
Added 28 days ago
AO
Senior Vice President, Payor Growth
Atlas Oncology Partners
Remote, United States
- $225,000 to $290,000 USD / year
- 10+ years healthcare experience, including contracting, med economics / analytics, strategy, and / or partnerships

Manager, VBC Analytics - Capitation

Remote, United States

$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.

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Job details

Pay: $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.
Apply by: Nov 30, 2026
Posting language: English
Posted: Nov 5, 2026

Original job description

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 Turn complex data into decisions that drive accurate, timely capitation payments. Join the Capitation Center of Excellence in a high-impact role where your analytical expertise and cross-functional partnership will improve payment accuracy, strengthen processes, and support critical financial outcomes. The Capitation Center of Excellence (COE) oversees and administers monthly capitation payment submissions and processing, helps ensure accurate and timely results, and provides leadership with information needed to support monthly general ledger close activities. This role partners with Network, Accounting, Finance, Product and Benefits, technology teams, the capitation system vendor, and other stakeholders to execute capitation cycles, analyze payment results, and resolve issues.

Key Responsibilities

Initiate and monitor monthly capitation production cycles.
Analyze large data sets to identify payment errors, variances, and drivers of change.
Determine root causes and communicate findings and recommend actions to internal teams and, when appropriate, external providers.
Participate in technical troubleshooting with programmers who support the capitation platform.
Develop reports, tools, and process improvements for team and management use.

This role requires strong analytical and critical-thinking skills, attention to detail, and the ability to manage multiple priorities with urgency in a fast-paced, deadline-driven environment. The individual must be proficient in using GCP to extract data and use Excel to summarize, perform analysis using pivot tables, formulas, and lookup functions. Strong collaboration, communication, presentation, and follow-through skills are essential.

Required Qualifications

Three or more years of experience directly related to the responsibilities of the role, or an equivalent combination of education and relevant work experience.
Strong interpersonal, relationship-management, written communication, and presentation skills.
Demonstrated project leadership, critical-thinking, and data-analysis capabilities.
Advanced proficiency in Excel and working knowledge of Microsoft Office applications.
Demonstrated experience developing tools and implementing process improvements.

Preferred Qualifications

Knowledge of capitation processes and related payment, contract, or configuration systems, including EPDB, SCM, and ACAS.
Knowledge of SQL and other analytical and development tools a plus.

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 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: 11/30/2026

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

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More about this job

Skills

Leadership
General ledger
Troubleshooting
Critical thinking
Attention to detail
Google Cloud
Microsoft Excel
Collaboration
Communication skills
Presentation skills
Data analysis
Microsoft Office
Infor SCM
SQL

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