Senior Analyst, Business Consultant - Care Management - Hybrid

CVS Health

1d•Hybrid

About The Position

This position supports the development and implementation of clinical documentation and system updates that align to new contract award/update requirements, with a focus on resolving common challenges or pain points for the assigned market. The role involves collaborating with clinical subject matter experts and leadership to analyze Medicaid contracts and proposals for new business, rebids, expansions, and ad hoc updates, integrating these requirements into business initiatives through implementation projects. The Senior Analyst will work closely with cross-functional business units to gain an in-depth understanding of the strategy, care management/utilization management processes, services, roadmap, and the operational context to ensure compliance with contractual requirements.

Requirements

Analytical skills
Industry knowledge
Bachelor's degree or specialized training or relevant professional qualification

Nice To Haves

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.