Mgr, Business Analytics - Medicare Stars

CVS Health

5d

About The Position

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 The Medicare Stars Data Intelligence supports Medicare Stars. We combine deep healthcare expertise with advanced technical capabilities to deliver data-driven insights that improve member outcomes and drive operational excellence. Our mission is to elevate Star ratings, enhance member experience, and support retention—all while operating within CMS guidelines and medical loss ratio (MLR) targets. Gather and clarify business requirements from stakeholders—particularly those tied to Product configuration and bid readiness—and translate them into structured documentation or user stories. Research, review, and analyze source data to support Product development timelines, bid cycle deliverables, and other strategic initiatives. Organize and document campaign and governance meetings related to Product data initiatives and the annual bid cycle, including scheduling, note-taking, and tracking action items through completion. Explore and validate data within SQL Server and Google Cloud Platform (GCP) environments to support Product data integrity and reporting needs. Document data flows, dependencies, and quality checks for Medicare Stars-related datasets and Product bid data, ensuring alignment with compliance and regulatory standards. Collaborate with cross-functional teams to support release planning, testing coordination, and production readiness for systems and tools used in the annual bid cycle.

Requirements

• 1-3 years of experience working with Medicare data, preferably Medicare Stars data, with exposure to different data environments and types of reporting.
• Knowledge and hands-on experience with Agile methodologies and frameworks.
• Exposure to SQL and Google Cloud Platform (GCP) for data analysis and pipeline development.
• Strong communication and collaboration skills, with the ability to work cross-functionally.

Nice To Haves

• Familiarity with Product data, HEDIS, CAHPS and/or other quality performance measures.

Responsibilities

• Gather and clarify business requirements from stakeholders—particularly those tied to Product configuration and bid readiness—and translate them into structured documentation or user stories.
• Research, review, and analyze source data to support Product development timelines, bid cycle deliverables, and other strategic initiatives.
• Organize and document campaign and governance meetings related to Product data initiatives and the annual bid cycle, including scheduling, note-taking, and tracking action items through completion.
• Explore and validate data within SQL Server and Google Cloud Platform (GCP) environments to support Product data integrity and reporting needs.
• Document data flows, dependencies, and quality checks for Medicare Stars-related datasets and Product bid data, ensuring alignment with compliance and regulatory standards.
• Collaborate with cross-functional teams to support release planning, testing coordination, and production readiness for systems and tools used in the annual bid cycle.

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
• Number of Employees: 5,001-10,000 employees