Position Summary
This position will support the Utilization Management Performance Management team. The core responsibility of this role will be to lead the operational and financial performance evaluation across Aetna’s Utilization Management programs to optimize the programs’ performance, identify new opportunities and accurately explain the financial value and impact to the organization. This role will also be responsible for building and maintaining staffing models which will substantiate changing levels of support required to support these programs.
Key responsibilities of this role include:
- Ownership of business case/value for utilization management programs, reflecting program changes, impact of evaluations, and refinement of value.
-Lead and build task-based staffing models for utilization management programs. Connect with the budgeting and forecasting process for the Aetna Clinical Solutions.
- Lead and build on performance review executive reporting to provide holistic, end to end view and insights and observations into overall performance of programs including program ROIs.
- Establish program optimization framework and insights to drive additional value and improve program effectiveness.
- Lead development and/or collaboration with key business partners on additional analytical tools and dashboards to provide early insights into potential outcomes and savings, identify potential opportunities, and to better enable informed operational decision making.
- Primary point of contact for performance management of UM programs
- Drive knowledge sharing and collaboration on performance management processes for other functional areas.
In order to be successful in this role you must exhibit the following:
-Advanced Excel skills with demonstrated experience developing custom analyses, models, and calculations to address ad hoc business needs.
-Ability to synthesize data, apply relevant assumptions and drivers, and build solutions from the ground up, rather than primarily working within established templates or recurring reporting processes.
- Excellent written and verbal communication skills.
- Strong technical, analytical, financial, and data manipulation and visualization skills.
- Ability to thrive in a constantly evolving environment with competing priorities and deadlines.
- Ability to generate new ideas, think strategically, and creatively solve problems that are not well defined.
- Provide thoughtful leadership and collaboration with both internal and external constituents.
Required Qualifications
- 5+ years of analytical/excel modeling related work experience.
- 5+ years of proficiency in Excel and PowerPoint.
Preferred Qualifications
-Advanced Excel skills with demonstrated experience developing custom analyses, models, and calculations to address ad hoc business needs.
-Ability to synthesize data, apply relevant assumptions and drivers, and build solutions from the ground up, rather than primarily working within established templates or recurring reporting processes.
- Programming (SAS, SQL, Tableau).
Education
- Bachelor's degree required or equivalent years of related experience.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $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.
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 .
We anticipate the application window for this opening will close on: 09/30/2026
