Sr Associate, Stars(Operations Analytics)

CVS Health•Work At Home-Illinois, IL

3d•$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 Analyst, Data Analytics reports to the Director, Stars Part D and is responsible for supporting Oak Street Stars efforts for Part D measures. The ideal candidate is a self-starter, enjoys solving challenging problems, uses data to drive insights, and excels in a fast-paced environment. This will be a high-visibility role requiring significant partnership with external payers, cross-team collaboration within Stars Team and other corporate teams (e.g., Managed Care Operations, Product, Engineering etc.), partnership with clinical and operational field leaders, and regular communication with senior leadership.

Requirements

Bachelor's degree preferred
3 - 5 years of prior relevant experience
2+ years of consulting or other applicable experience in healthcare preferred
Strong interpersonal skills that support effective stakeholder engagement
Strong written communication skills; highly proficient with Microsoft PowerPoint
Analytical and data savvy; highly proficient with Microsoft Excel, SQL is a plus
Ability to develop business cases, ROI analysis, and financial analysis
Passion for excellence, willing to go the extra mile to achieve objectives and ensure consistently high quality work product
Quick learner comfortable with a high level of ambiguity
Ability to succinctly summarize and synthesize large amounts of information
Strong accountability and discipline against timelines and deliverables
Collaborative working style, able to work cross functionally

Responsibilities

Develop and maintain forecasting models that project Oak Street’s performance in various CMS Stars measures.
Regularly analyze performance data to identify areas for improvement and recommend strategies to enhance ratings.
Draw insights from performance data and highlight areas of opportunity by market for field leaders and Oak Street’s senior leadership team.
Prepare clear and concise reports, dashboards, and presentations to communicate performance metrics, trends, and recommendations to Oak Street senior leadership (VP, SVP, & C-suite) and other key stakeholders (Oak Street Medical leadership).
Develop a reconciliation process to ensure Oak Street receives accurate and complete payer data files.
Partner with payer data teams and Managed Care Operations to address gaps in payer data.
Regularly review escalations from stakeholders regarding data quality.
Partner with Product and Engineering on improving data quality.
Collaborate with cross-functional teams, including Product, Data, Engineering, and Managed Care Operations to integrate analytical insights into Oak Street’s overall quality improvement efforts.
Other duties as assigned.