Manager, Payer Insights & Analytics

CVS Health-posted 12 days ago
Full-time • Manager
5,001-10,000 employees
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary As a member of the Network Operations Analytics team, you will be responsible for the design, development, and delivery of analytic solutions. You will be responsible for evolving our current analytical competencies which monitor our claims production environment. By enabling data-driven strategic decision-making, you will identify opportunities for improving existing products and developing new ones. Your experience will include translating business needs into analytic questions, using SQL to access data and develop robust & insightful data visualizations with tools such as Power BI, Tableau, and similar platforms.

  • Design and implement robust analytic and reporting solutions to support the identified needs
  • Query data, design summary data layers, construct, and manipulate large datasets to support analysis using SQL, Python, and other tools
  • Access existing available data, identify data gaps, and collaborate with data strategy and business partners to develop approaches to closing the data gaps
  • Build dynamic dashboards using Power BI and/or Tableau
  • Collaborate with key internal and external stakeholders to gather and analyze needs and requirements
  • Conduct analyses of the data, ranging from descriptive reports to statistical analyses to predictive modeling
  • Communicate complex technical subjects to technical and non-technical audiences, such as but not limited to training analytic and business users how to use data layers and reporting tools, including development of documentation and training materials
  • Tailor analytic solution to the specific client needs and constraints of delivery timelines
  • Apply creativity in developing analytic solutions based on available data sources, and in representing analytic findings in reports, tools, and other media to support most effective translation
  • Communicate analytic findings in a variety of formats (reports, PowerPoint), including visualization of data and findings, formulate recommendations, and effectively present the results to non-analytic audiences.
  • 3+ years of experience in data analysis constructing analytical solutions to business problems (experience with administrative claims data such as pharmacy or medical claims a plus).
  • 2+ years of experience developing analytic and reporting methodology.
  • 2+ years of experience using SQL or similar methods to access, extract, manipulate and summarize data.
  • 1+ years of experience building Power BI or Tableau dashboards to reflect business analytic needs.
  • 1+ year of experience working directly with business partners to understand the business needs and translating those needs into analytic solutions.
  • 2+ years of experience communicating complex technical subjects to non-technical audiences via both written and oral communication.
  • Independent, curious, eager to tackle a wide variety of problems, and able to quickly develop knowledge and understanding of new domains and underlying data sources.
  • Familiarity with pharmacy workflow and claims adjudication.
  • Experience as a project lead with cross-functional teams to develop innovative analytic approaches leveraging all available internal and external data sources.
  • Excellent written and oral communication skills.
  • Experience developing, testing, documenting, and maintaining standardized outcome metrics meeting diverse business needs.
  • Experience developing, implementing, testing, and maintaining methodologies for standardized and repeatable reporting for internal and external audiences.
  • Ability to interact with and influence decision-making by non-analytical business audiences.
  • Working knowledge of statistical methods and the ability to apply them in appropriate use cases (e.g., predictive analytics)
  • 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.
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