Senior Analyst, Business Consultant - Care Management - Hybrid

CVS Health•Work At Home-Connecticut, CT

3d•$46,988 - $112,200•Hybrid

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. Position Summary Supports the development and implementation of clinical documentation and system updates that align to new contract award/update requirements with attention to resolving common challenges or pain points for the assigned market. Collaborates with clinical subject matter experts and leadership to analyze Medicaid contracts and proposals for new business, rebids, expansions and ad hoc updates and integrating those requirements into business initiatives through implementation projects. Works closely with cross-functional business units to gain an in-depth understanding of the strategy, care management/utilization management processes, services, roadmap, and the context in which the business operates to ensure compliance with contractual requirements.

Requirements

Demonstrated knowledge of problem solving and decision-making capabilities.
Experience with care management.
Medicaid experience

Responsibilities

Coordinates and analyzes end-to-end contractual requirements to identify and address operational and technological risks.
Supports multiple projects by completing and updating project documentation, managing project scope, adjusting schedules, determining daily priorities, and ensuring the efficient and on-time delivery of project tasks and milestones.
Identifies improvement opportunities by conducting complex and informative business and systems process analyses.
Focuses on quality improvement and data management by ensuring data is reliable and valid and developing process improvements that leverage actionable insight from key data.
Collaborates with internal stakeholders across different departments, such as operations, finance, marketing, and IT, to gather information, understand business needs, and drive alignment.
Leverages analytical skills and industry knowledge to support data-driven decision-making, improve business processes, and drive strategic initiatives that contribute to the successful implementation of contract requirements and ensure compliance.