
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.
🕒 September 18
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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.
• 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
• 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
• 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
Apply Now🕒 September 18
DRG Quality Analyst reviewing inpatient coding audits for EXL, a healthcare data analytics and digital operations company. Mentoring auditors and improving audit quality.
🇺🇸 United States – Remote
💵 $85k - $110k / year
💰 $2M Venture Round on 2015-01
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🕒 September 18
IRF Quality Analyst validating inpatient rehabilitation audits, documentation, coding, and reimbursement accuracy for EXL. Providing auditor coaching, quality scoring, trend analysis, and process improvements.
🇺🇸 United States – Remote
💵 $70k - $110k / year
💰 $2M Venture Round on 2015-01
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Analyst
🕒 September 18
2 - 10
Analista sênior liderando governança ITSM, evolução de processos ITIL e gestão de indicadores. Mobilização de áreas, parceiros e fornecedores para transformação digital.
🗣️🇧🇷🇵🇹 Portuguese Required
🕒 September 18
Compensation Analyst advancing market-informed, equitable pay practices at OCHIN. Administering compensation programs, benchmarking salaries, and advising leaders through data-driven analysis.
🕒 September 18
Epic ClinDoc/Stork Analyst configuring and supporting EHR applications for OCHIN’s national community healthcare network. Providing integrations, training, Go-Live support, and workflow improvements.