Position SummaryTurn 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 Hours40
Time TypeFull time
Pay RangeThe 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.
Great benefits for great peopleWe 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
