Strategic Analytics Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $54.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📉 Data 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

• Serve as subject matter expert on Medicare Risk Adjustment at-risk provider reporting • Track and analyze risk adjustment activities and performance at provider group and Group sponsor level • Collaborate with Revenue Integrity Provider Optimization and Excellence (RIPOE) to create provider enablement initiatives • Develop and maintain analytical tools supporting RIPOE activities • Design and develop analytical solutions using GCP, AWS, Databricks, SAS, SQL and related cloud technologies • Create scalable data assets and reporting frameworks using modern cloud data platforms and data engineering best practices • Develop tools for membership trends, risk score trends, chronic conditions and clinical tracking metrics • Provide ad hoc analytics to help business partners understand problems and goals • Assist in creating and implementing new health metrics • Build provider-group-specific reporting for Engagement Managers • Develop and publish internal and external reporting and stakeholder communications for action plans • Translate business needs into strategic projects and actions • Develop and maintain MEU and financial data assets, BI tools and cloud-based analytical solutions • Support at-risk provider reporting, RAPS/EDS reconciliation, Medical Cost Funds and performance management • Apply business rules to identify improvement opportunities in clinical coding and member engagement • Provide guidance on cloud data platforms, advanced analytics methodologies and reporting solutions • Partner with technology, data engineering and business stakeholders to implement scalable analytics capabilities and data products

🎯 Requirements

• 5+ years’ experience designing and coding efficiently in SAS, SQL, Python or similar programming language • 5+ years’ experience leading development of analytic solutions and initiatives with a track record of business impact • Experience with member, claim, encounter, pharmacy, or diagnosis data • Experience working with large datasets and solving data challenges • Data analytics or business intelligence experience • Effective reporting and communication • Strong customer service skills • Ability to self-start, solve issues independently, and meet strict deadlines • Ability to execute algorithms to solve business problems • Ability to interact with varied stakeholders • Strong organization and attention to detail • Ability to learn and absorb varying state rules and regulations • Bachelor’s degree preferred or equivalent work experience preferred • Government-regulated healthcare program experience preferred, such as Commercial, Medicare or Medicaid • Health insurance concepts and definitions preferred • Risk Adjustment experience preferred • Population health analytics preferred • Prior health plan experience preferred • Experience building business intelligence solutions and dashboards in Tableau, AWS or Python preferred • Risk score calculations, statistical modeling, reporting and visualization preferred • Ability to build automated end-to-end processes preferred • Sponsorship not available • Can work reside anywhere in the US

🏖️ Benefits

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