Senior Analyst – Quality Management

Job not on LinkedIn

🔥 0 minutes ago

🏈 Alabama, Arizona, +36 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $47k - $112.2k / 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

• Develop member-level targeting lists using business-defined criteria, measure-level gap information, claims data, and member attributes • Evaluate the effectiveness of outreach, engagement, and overall quality programs • Conduct root-cause analysis for business data issues • Integrate, validate, and analyze claims, enrollment, provider, pharmacy, clinical, and HEDIS datasets • Collaborate cross-functionally with business owners to gather requirements and translate business needs into analytical solutions • Develop, maintain, and enhance dashboards and health plan scorecards • Present measure performance analysis to senior leadership • Ensure data accuracy, quality, and integrity of reports • Complete ad-hoc and scheduled reporting deliverables on time • Assist with special projects as requested

🎯 Requirements

• 5 years of experience in healthcare analytics, data analysis, reporting, or related field • Experience with HEDIS and Stars measures • Demonstrated ability to independently lead complex analytical projects • Experience working with healthcare claims, members, provider, and clinical data • Experience performing root cause analysis • Advanced Microsoft Excel skills • Effective verbal and written communication skills • Bachelor's degree in health informatics or related field, or equivalent combination of education and experience (REQUIRED) • Experience with SQL queries (preferred) • Master's Degree (preferred)

🏖️ 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