Senior Analyst

Job not on LinkedIn

🕒 September 18

⚓ Rhode Island – Remote

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💵 $102k - $203.9k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 Ghost score 0%

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support the build and maintenance of Epic Healthy Planet registries, health maintenance topics, care gap alerts, and best practice advisories tied to Star Ratings measures • Translate HEDIS technical specifications and CMS Star Ratings measure criteria into Epic build requirements alongside senior analysts and architects • Configure and test quality measure logic within Epic to ensure accurate gap identification and closure tracking • Troubleshoot day-to-day issues related to Star measure workflows, registries, and reporting discrepancies • Build and maintain reports using Reporting Workbench, Clarity/Caboodle, and SlicerDicer • Validate quality measure data and resolve discrepancies between Epic data and quality reporting outputs • Support monthly and quarterly Star Ratings reporting cycles and timely data delivery to Quality and Population Health teams • Serve as a point of contact for clinical and quality staff regarding Star measure workflows and Epic documentation • Partner with Quality, Population Health, and ACO teams to gather requirements and communicate build updates or limitations • Participate in testing and validation sessions with end users before releasing new builds or measure updates • Maintain documentation of build configurations, workflows, and measure logic • Support change control processes for annual HEDIS/CMS specification changes • Track and manage assigned work items in agile tools such as Rally

🎯 Requirements

• Bachelor's degree in Health Informatics, Information Systems, or related field (or equivalent experience) • Epic Certified in Healthy Planet, Reporting or related modules • 2+ years of experience working with Epic, ideally within Healthy Planet, Reporting Workbench, Clarity/Caboodle, or SlicerDicer • Familiarity with Medicare Star Ratings, HEDIS, and/or NCQA quality measure concepts • Strong analytical skills with attention to detail in data validation and measure logic testing • Ability to communicate effectively with both technical and clinical stakeholders • Experience in a health plan, ACO, or population health environment preferred • Familiarity with agile delivery tools such as Rally preferred • Basic understanding of FHIR/HL7 interoperability concepts preferred • Strong attention to detail and data accuracy • Solid understanding of quality measure workflows and healthcare data • Effective collaboration across IT, clinical, and quality functions • Comfort managing multiple work items and deadlines in a fast-paced environment

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility

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