Note: The job is a remote job and is open to candidates in USA. CVS Health is a healthcare company focused on creating a more connected, convenient, and compassionate health experience. The Senior Manager, Medicare Business Analytics serves as a senior analytics lead and player-coach, leading analytics, reporting, dashboard development, competitive intelligence, financial performance, and enrollment initiatives while mentoring analysts and translating complex findings for executive audiences.
Responsibilities
- Serve as a player‑coach, balancing hands‑on individual contribution with mentorship, technical guidance, and informal leadership of mid‑level and junior analysts on the team
- Lead high‑priority initiatives end‑to‑end, taking ownership of scoping, execution, stakeholder management, and delivery for whichever workstreams require senior leadership at any given time
- Drive results across a broad and shifting portfolio, including (but not limited to) executive and market‑facing dashboards, growth and enrollment analytics, financial performance reporting, competitive intelligence, footprint and submarket analytics, and ad‑hoc executive requests
- Rally the team behind key initiatives by setting direction, breaking down complex problems into actionable workstreams, coordinating contributors, and holding the team accountable to milestones and quality standards
- Raise the technical bar across the team through code review, design partnership, documentation standards, and proactive identification of opportunities to automate, simplify, or modernize existing processes
- Partner with the Lead Director to triage incoming demand, prioritize the team's roadmap, and surface risks, dependencies, and resourcing tradeoffs
- Represent the team in cross‑functional working groups with Actuarial, Product, Sales/Retention, Performance Management COE, and DDAT, translating between business stakeholders and the analytics team
- Translate complex analyses into executive‑ready narratives suitable for AVP and SVP‑level audiences, and coach team members in doing the same
- Identify and lead continuous improvement opportunities across the team's tooling, processes, and reporting standards including automation, data validation frameworks, documentation, and modernization of legacy assets
- Operate with flexibility and ownership in an environment where priorities shift, taking on whatever work most needs senior leadership without being constrained to a fixed scope
Skills
- 7+ years of progressive experience in healthcare analytics, business intelligence, or informatics, with at least 3 years in a senior individual contributor or technical lead capacity
- Demonstrated experience designing, building, and maintaining executive‑level dashboards and recurring analytical deliverables in a regulated healthcare environment
- Advanced proficiency in SQL and at least one BI/visualization platform — Tableau and/or Power BI required
- Working knowledge of Medicare Advantage business fundamentals: enrollment lifecycle (BOP/EOP, lapses, new sales), PBP structure, county/submarket mapping, and AEP timelines
- Proven ability to design data validation, reconciliation, and automation processes for recurring reporting deliverables
- Strong written and verbal communication skills, with demonstrated ability to translate complex analyses into concise executive‑ready narratives for senior leadership
- Experience partnering with cross‑functional stakeholders including Actuarial, Product, Sales/Retention, and IT/Engineering teams
- Bachelor's degree required in a quantitative or analytical discipline such as Mathematics, Statistics, Computer Science, Data Analytics, Informatics, Health Informatics, Actuarial Science, Economics, or a related field
- Equivalent combination of education and directly relevant professional experience will be considered
- Direct experience supporting Medicare Advantage bid strategy, rate announcement analysis, or CMS rate methodology interpretation
- Familiarity with Aetna/CVS Health data ecosystems
- Experience with Python for data validation, dashboard automation, or supplemental reporting workflows
- Hands‑on experience with Google Cloud Platform (GCP) data environments, including data ingestion, validation frameworks, and credential management
- Exposure to competitive intelligence analytics, CMS Landscape file analysis, and Medicare market footprint reporting
- Experience with GitHub‑based development workflows and production deployment processes for analytics assets
- Knowledge of CMS Star Ratings methodology, IRA impacts, LIS/Extra Help policy, and SNP/GE plan requirements
- Experience managing data governance topics such as sensitive field handling (e.g., MBI), policy tags, and access controls in BigQuery
- Prior experience in a player‑coach or technical lead role mentoring junior analysts
- Master's degree in Business Analytics, Data Science, Health Informatics, Public Health, or MBA preferred
Benefits
- This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
- This position also includes an award target in the company’s equity award program.
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
Company Overview
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