Senior Manager, Medical Pharmacy Performance Management & Strategic Analytics – Aetna Pharmacy

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 role turns medical pharmacy performance data into strategic insights and decision-ready recommendations for the Aetna Pharmacy team across all lines of business. You’ll evaluate in-flight initiatives, monitor operational and experience trends, and partner with clinical and pharmacy network stakeholders to pinpoint the highest-impact drivers, clarify tradeoffs, and set a focused path of action. Responsibilities include:

• Performance narrative: Review medical pharmacy performance across multiple initiatives to provide direction on how to balance intersection, including suggested next steps and responsibility by stakeholder
• Performance evaluation: Assess performance of in-flight medical pharmacy (MedRx) initiatives owned by Aetna Pharmacy; identify what’s working, what’s not, and what to change by line of business
• Reporting & monitoring: Build and maintain reporting/analytics to track initiative success, operational performance, and experience trends
• Drivers & affordability opportunities: Conduct detailed analysis of cost, utilization, and operational levers at the drug and provider level and quantify opportunities to improve affordability with a focus on turning adhoc requests into repeatable monitoring
• Risk/opportunity sizing: Use internal and external data sources to quantify risk, upside, and tradeoffs; communicate implications clearly
• Operating cadence: Stand up a recurring cadence to review initiative value, progress, and decisions with cross-functional workgroups and senior leaders
• Cross-functional partnership: Build strong working relationships with Rx Network, Medical Network, and Rx clinical teams across Aetna LOBs to increase transparency and accelerate decisions
• Strategic insights: Provide LOB-informed insights on plan design, formulary design, member engagement, and related strategic initiatives
• Executive communication: Deliver succinct, decision-oriented updates for senior leaders, including valuation summaries and key callouts

Required Qualifications

• 7+ years of healthcare data analytics and reporting experience.
• 3-5+ years of SQL query and coding experience
• Medical Pharmacy knowledge
• Strong communication skills with the ability to translate analysis into clear recommendation
• Ability to think creatively and use multiple data sources to assess and develop business strategies
• Ability to manage multiple priorities across stakeholders and timelines
• 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
• Strong collaboration skills with network and clinical partners

Preferred Qualifications

• Experience with network, vendor, or partner-related work
• Knowledge of different Aetna segments and how unique components within each LOB impact P&L

Education

• Bachelor's degree or equivalent work experience

Pay Range The typical pay range for this role is: $67,900.00 - $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 physica Apply tot his job Apply To this Job