Senior Associate, Stars – Operations Analytics

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🕒 Maio 17

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $46.988 - $112.200 / ano

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

⚕️ Seguro de Saúde

🛒 Varejo

🧘 Bem-estar

Healthcare Insurance • Retail • Wellness

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Develop and maintain forecasting models that project Oak Street’s performance in various CMS Stars measures. • Regularly analyze performance data to identify areas for improvement and recommend strategies to enhance ratings. • Draw insights from performance data and highlight areas of opportunity by market for field leaders and Oak Street’s senior leadership team. • Prepare clear and concise reports, dashboards, and presentations to communicate performance metrics, trends, and recommendations to Oak Street senior leadership (VP, SVP, & C-suite) and other key stakeholders (Oak Street Medical leadership). • Develop a reconciliation process to ensure Oak Street receives accurate and complete payer data files. • Partner with payer data teams and Managed Care Operations to address gaps in payer data. • Regularly review escalations from stakeholders regarding data quality. • Partner with Product and Engineering on improving data quality. • Collaborate with cross-functional teams, including Product, Data, Engineering, and Managed Care Operations to integrate analytical insights into Oak Street’s overall quality improvement efforts. • Other duties as assigned.

🎯 Requisitos

• Bachelor's degree preferred • 3 - 5 years of prior relevant experience; 2+ years of consulting or other applicable experience in healthcare preferred • Strong interpersonal skills that support effective stakeholder engagement • Strong written communication skills; highly proficient with Microsoft PowerPoint • Analytical and data savvy; highly proficient with Microsoft Excel, SQL is a plus • Ability to develop business cases, ROI analysis, and financial analysis • Passion for excellence, willing to go the extra mile to achieve objectives and ensure consistently high quality work product • Quick learner comfortable with a high level of ambiguity • Ability to succinctly summarize and synthesize large amounts of information • Strong accountability and discipline against timelines and deliverables • Collaborative working style, able to work cross functionally

🏖️ Benefícios

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility