Note: The job is a remote job and is open to candidates in USA. CVS Health is building a more connected, convenient, and compassionate health care experience. The Strategic Analytics Manager will support Medicare strategy and provider enablement by analyzing Medicare Risk Adjustment activities and performance, developing cloud-based analytical tools and reporting frameworks, and partnering with stakeholders to implement scalable analytic capabilities.
Responsibilities
- Develop and Maintain analytical tools to support RIPOE activities
- Design and develop analytical solutions leveraging GCP, AWS, Databricks, SAS, SQL, and related cloud technologies to support Medicare Informatics initiatives
- Create scalable data assets and reporting frameworks utilizing modern cloud-based data platforms and data engineering best practices
- Develop analytical tools including membership trend, Risk score trend, chronic conditions and clinical tracking metrices
- Provide ad-hoc analytic solutions to help business partners understand their problems and goals
- Assist in creation of new health metrics and implementation
- Build Provider Group (PBG/PBP/MSO) specific reporting for Engagement Managers
- Develop and publish internal/external reporting and communication with stakeholders for action plans
- Act as an analytics expert to translate business needs into strategic projects and actions
- Develop and maintain MEU and Financial data assets, BI tools, and cloud-based analytical solutions using Databricks, GCP, AWS, and SAS to support at-risk provider reporting, reconciliation of RAPS/EDS, Medical Cost Funds, and overall performance management
- Apply business rules to identify improvement opportunities in clinical coding and member engagement
- Serve as a technical and analytics subject matter expert, providing guidance on cloud data platforms, advanced analytics methodologies, and reporting solutions
- Partner with technology, data engineering, and business stakeholders to implement scalable analytic capabilities and data products
Skills
- 5+ years' experience of design and coding efficiency in SAS, SQL, Python or similar programming language
- 5+ years' experience leading the development of analytic solutions and initiatives with track record of business impact
- Skills
- Data analytics or business intelligence
- The dynamics of supporting a variety of stakeholders that serve the business
- Business integrity and accountability
- Working experience with member, claim, encounter, pharmacy, or diagnosis data
- Experience working with large sets of data and solving data challenges
- Effective reporting and communication
- Strong customer service skills
- Be a self starter, staying curious and self solve for issues with little direction being mindful of strict deadlines
- Be comfortable with change
- Execute algorithms to solve business problems
- Interact with a variety of stakeholders
- Be very organized; attention to detail
- Motivated and willing to probe into technical details
- Learn and absorb quickly varying state rules and regulations
- Juggle multiple priorities successfully and pivoting to new solutions or processes if needed
- Government-regulated healthcare programs such as Commercial, Medicare or Medicaid
- Health insurance concepts and definitions
- Risk Adjustment (Commercial, Medicare or Medicaid)
- Population health analytics
- Prior experience working for a health plan
- Demonstrated experience in building business intelligence solutions and dashboards in Tableau, AWS or Python programming language
- Risk score calculations
- Statistical modeling
- Reporting and visualization
- Build automated end-to-end processes
- Bachelors degree preferred or equivalent work experience preferred
Benefits
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
- CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
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