Senior Healthcare Data Analyst

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🔥 0 minutes ago

🌵 Arizona, California, +2 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote ☕ Washington – Remote

💵 $47k - $112.2k / year

⏰ Full Time

🟠 Senior

📉 Data Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

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

• Lead analytical initiatives supporting Medicare and CMS Risk Adjustment programs • Analyze large healthcare datasets (claims, encounters, enrollment, chart reviews, and clinical data) to: • Identify RAF optimization opportunities • Monitor coding accuracy and completeness • Assess financial and operational impact of risk score changes • Develop and maintain SQL‑based data pipelines and analytic models in large data warehouse environments • Produce executive‑level reporting and dashboards addressing: • HCC performance • Coding gap closure • Suspect and recapture outcomes • Provider and member impact • Translate CMS regulations, risk adjustment models, and technical findings into clear business insights • Partner with coding, clinical, compliance, and operational leaders to support risk‑adjustment initiatives • Serve as a subject matter expert on Medicare data, metrics, and CMS standards • Lead or support analytic projects end‑to‑end, including scope definition, analysis, and stakeholder delivery

🎯 Requirements

• Bachelor’s degree in Statistics, Mathematics, Economics, Computer Science, Actuarial Science, Healthcare, or a related field • 3+ years advanced SQL expertise in enterprise data warehouse or big-data environments • 3+ years experience with healthcare analytics, including large, complex datasets • Experience developing reports and visualizations using tools such as Tableau, Power BI, or Microsoft Access • Strong understanding of relational databases and healthcare data structures (claims, encounters, member, provider) • Demonstrated ability to clearly communicate statistical and technical results to non‑technical audiences • Proven analytical problem‑solving and critical‑thinking skills • Experience collaborating across multidisciplinary healthcare teams

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package