Senior Analyst - Quality Management

CVS Health•New York, NV

4d•$46,988 - $112,200

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. The Senior Data Analyst serves as an individual contributor responsible for healthcare performance analytics supporting the Dual Eligible Special Needs (D-SNPs), including Fully and Highly Integrated (FIDE and HIDE) populations. This role requires advanced analytical skills, healthcare domain expertise, and the ability to independently lead complex analyses with minimal oversight. Analysis are specific Medicare Stars, pay for performance, provider incentive programs, member outreach campaigns, and performance reporting.

Requirements

5 years of experience in healthcare analytics, data analysis, reporting, or related field
Experience with HEDIS and Stars measures
Demonstrated ability to independently lead complex analytical projects
Experience working with healthcare claims, members, provider, and clinical data
Experience performing root cause analysis
Advanced Microsoft Excel skills
Effective verbal and written communication skills

Nice To Haves

Experience with SQL queries

Responsibilities

Develop member-level targeting lists using business-defined criteria, measure-level gap information, claims data, and member attributes
Evaluate the effectiveness of outreach, engagement, and overall quality programs
Conducts root-cause analysis for business data issues
Integrate, validate, and analyze data from multiple healthcare data sources, including claims, enrollment, provider, pharmacy, clinical, HEDIS datasets
Cross-functional collaboration with business owners to gather requirements, translate business needs into analytical solutions, and deliver actionable insights to support decision-making
Develop, maintain, and enhance dashboards and health plan scorecards
Present measure performance analysis to Senior leadership
Ensure data accuracy, quality and integrity of reports to support decision making and opportunities for improvement
Complete ad-hoc and scheduled reporting deliverables timely
Assist with special projects as requested