Senior Informatics, Analyst

CVS Health

6d

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. Business Overview At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. Position Summary We are expanding the Revenue Integrity Analytics & Reporting team to support Medicare Advantage and ACA Risk Adjustment program evaluation activities. This Senior Analyst will serve as a subject matter expert on Medicare Advantage and ACA Risk Adjustment program evaluations and associated data, and will be responsible for:

Requirements

• 3+ years of experience with data processing/analytics.
• 1+ years of experience with Python or SAS programming.
• 1+ years of experience writing SQL queries.

Nice To Haves

• 1+ years of experience in the healthcare industry.
• Experience with Cloud technologies (GCP/AWS).
• Proficiency in Python programming.
• Ability to communicate with both technical and non-technical colleagues.
• Experience automating end-to-end processes.

Responsibilities

• Compute CMS risk scores using risk adjustment models (MA CMS‑HCC / RxHCC; ACA HHS‑HCC )
• Standardize monthly program evaluation reporting with YOY/MOM trend views
• Migrate analytics from SAS to GCP BigQuery/AWS/Python
• Monitor data quality and collaborate with submission/finance/actuary on trend changes
• Triage stakeholder requests and deliver actionable financial insights to enable decision-making and strategic planning

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.
• For more information, visit https://jobs.cvshealth.com/us/en/benefits

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees