Clinical Support Analyst

Job not on LinkedIn

🔥 15 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $43.9k - $85.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📞 Support Engineer

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

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

• Manage case management assignments from initial outreach through reassignment and monthly caseload rebalancing • Monitor caseload distribution to support staffing alignment, workload balance, and contractual requirements • Track assignment changes and maintain accurate, current operational data • Prepare and support timely State-required reports • Track performance against contractual, regulatory, and organizational requirements • Validate data accuracy, completeness, and reporting integrity • Develop and maintain reports, dashboards, scorecards, and tracking tools • Monitor KPIs, identify trends, and provide leadership with actionable insights • Analyze staffing, productivity, workload distribution, utilization activity, and provider-related impacts • Partner with LTSS leaders to identify process gaps, risks, and improvement opportunities • Prepare executive summaries, presentations, and business review materials • Support audits, accreditation activities, special projects, and regulatory readiness efforts • Collaborate with Case Management, Quality, Network, Compliance, Finance, and Provider Relations • Communicate findings clearly and concisely to support timely operational action

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Data Analytics, or related field preferred • 2+ years of healthcare, managed care, business analytics, or operational analysis experience • Advanced proficiency in Microsoft Excel, required • Experience with Power BI, Tableau, QuickBase, SQL, or similar reporting tools preferred • Strong analytical, organizational, and problem-solving skills • Excellent written and verbal communication skills, required • Medicaid managed care experience preferred • LTSS, case management, utilization management, or provider operations experience preferred • Experience supporting executive reporting and performance improvement initiatives preferred • Knowledge of healthcare quality metrics and regulatory requirements preferred • Must work EST

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay range • 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