Senior Associate, Stars – Operations Analytics

Job not on LinkedIn

🕒 May 17

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• 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.

🎯 Requirements

• 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

🏖️ Benefits

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

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