Manager Informatics

CVS Health • Hartford, CT

1d

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Sponsorship is not available for this role Position Summary The Aetna Complaints, Grievance & Appeals (CG&A) organization is looking for the right candidate to help the CGA Insights team to support our data-driven analytics, root-cause analysis and process improvement activities. This new position will work with current team members on various activities impacting the CG&A organization to better respond to incoming data and report requests. This will include develop & updating of executive meeting materials, document existing processes and workflows, improving automation and collaborating with our business partners & stakeholders on the various operational and regulatory project deliverables the team is responsible for. This role provides an opportunity for the applicant to evolve into a reporting subject matter expert on the CG&A process across the multiple lines of business within Aetna/CVS Health. Responsibilities for this role will include:

Requirements

• Proficient with MS Office documentation, data analysis, & presentation applications.
• 5+ years of experience with relational databases and data transformation.
• 3+ years of experience with data processing/analytics.
• 5+ years of experience writing SQL queries (i.e. BigQuery, Coginiti, SQLServer, DB2)
• 3+ years’ experience with data visualization and report generation & scheduling tools such as: Tableau OR SAP Business Obects (LaunchPad, WEBI, Business Views/Crystal Reports) OR Microsoft Power BI OR GCP (BigQuery, Looker)

Nice To Haves

• 2+ years’ experience with Cloud / Big Data data storage technologies (GCP/AWS).
• 1+ years of experience in the healthcare industry. Experience in any of the following functional areas (call, claims, utilization management, grievances, appeals) would be ideal.
• 1+ years of experience with automation technologies (Python, Alteryx, Dataiku).
• 1+ years’ experience of data universe building or database admin development.
• Ability to communicate with both technical and non-technical colleagues.
• Comfortable with SharePoint and QuickBase (i.e. project tracking and collaboration tools).
• Experience in process improvement or automating end-to-end processes.
• Familiar with Agile project management release methodology & terminology.

Responsibilities

• Perform intake, triage, tracking, and fulfillment of incoming data & project requests.
• Reach out to requestors to further define, document and finalize requirements.
• Help execute standardized decision analysis reporting (YOY/MOM, QOQ) trend views.
• Support team members w activities around development of GCP data repository (i.e. BigQuery)
• Support team members w development of new semantic reporting environment.
• Identify automation opportunities for various technologies & tools (Python, GCP, Alteryx, Dataiku)
• Monitor data quality and collaborate with Sr. Management on data trend changes
• Perform deep dive analysis to help identify potential drivers of higher incoming case volumes.
• Evaluate resolved case data to identify opportunities to improve the decision-making process.
• Deliver actionable insights & recommendations to Executive Leadership to enable better decision-making and strategic planning.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager