Senior Analyst, Health Care Quality Management

Job not on LinkedIn

🔥 0 minutes ago

🌪️ Oklahoma – Remote

🌪️ Oklahoma – Remote

💵 $47k - $122.4k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

👻 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 assigned healthcare analytics projects from requirements gathering through analysis, validation, interpretation, and presentation • Develop, test, document, and support Python-based automation and analytical workflows • Write and troubleshoot SQL queries for healthcare data extraction, analysis, validation, reporting, and issue investigation • Build, maintain, and enhance Power BI dashboards, scorecards, and reports • Integrate, validate, and analyze medical and pharmacy claims, member enrollment, provider, clinical, laboratory, HEDIS, Stars, EPSDT, and population health datasets • Conduct quantitative and root cause analyses to identify performance drivers, data issues, care gaps, process breakdowns, and quality improvement opportunities • Evaluate population health interventions, member outreach, provider engagement, Quality Performance Improvement Projects, EPSDT initiatives, and other Quality Management programs • Ensure accuracy, completeness, quality, and integrity of analytical outputs through validation, reconciliation, documentation, and review • Use AI-assisted development tools, including GitHub Copilot or comparable solutions, while following privacy, security, and governance requirements • Collaborate with Quality Management, clinical, provider, operations, informatics, engineering, and reporting teams • Communicate findings, risks, limitations, and recommendations through written deliverables, data visualizations, and presentations • Complete recurring and ad hoc reporting deliverables; support data-quality investigations, audits, and special projects • Contribute to continuous improvement of team methods, documentation, analytical practices, and quality controls

🎯 Requirements

• 1-2 years of experience in healthcare analytics, quality measurement, data analysis, business intelligence, reporting, or a related field; relevant internship or project experience may be considered • Knowledge of HEDIS, Medicaid Stars, quality measurement, care-gap identification, or healthcare performance reporting • Experience building or supporting Power BI reports or dashboards • Strong Microsoft Excel skills • Ability to perform root cause analysis, manage priorities, and deliver accurate results with increasing independence • Effective written and verbal communication skills • Attention to detail • Ability to safeguard confidential healthcare data • Associate degree, vocational training, or certification in health informatics, data science, analytics, statistics, computer science, public health, healthcare administration, business, or a related field; or an equivalent combination of education and relevant experience • Preferred: Experience using AI-assisted development tools such as GitHub Copilot • Preferred: Experience or knowledge in population health analytics, Quality Performance Improvement Projects, EPSDT, Medicaid, managed care, HEDIS, or Stars • Preferred: Knowledge of relational databases, data modeling, version control, data-quality controls, or automated validation • Preferred: Working proficiency in SQL and some experience using Python for data analysis, automation, or scripting

🏖️ Benefits

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