Note: The job is a remote job and is open to candidates in USA. CVS Health is committed to delivering a simpler, more meaningful health care experience. The Senior Manager, Business Analytics will support Aetna members by translating complex data into actionable insights to improve mental health outcomes and drive data-driven decision-making through collaboration with various stakeholders.
Responsibilities
- Serves as a trusted partner and advisor to business leaders
- Manages communications with external providers and vendor partners to drive improvement in clinical quality, access, member experience, and other performance outcomes
- Develops robust business cases, visual insights, and presentations to communicate clear quality improvement objectives, metric definitions, evaluation methods, and performance results to various audiences
- Presents clear, data-driven narratives, visualizations, and recommendations to business leaders and stakeholders to drive informed business decisions
- Develops project plans, timelines, and implements project objectives on time from start to finish
- Collaborates with internal and external stakeholders to translate business needs into requirements
- Performs analyses using healthcare claims, clinical, and financial data in a relational database environment, including development of SQL queries and stored procedures
- Develops reports and dashboards by combining and aggregating data from multiple sources
- Interprets results and makes recommendations for improved processes, metric definitions, and evaluation methods
- Performs extensive data validation to ensure results meet stakeholder needs
- Prepares documentation such as process diagrams, wireframes, metric definitions, and pseudocode
- Monitors availability, consistency, and accuracy of business data
- Provides feedback and advice to management to guide decision making
Skills
- 7+ years of healthcare payor or provider experience managing analytics, quality measurement and improvement initiatives
- 5+ years of experience conducting analysis with healthcare claims and services data
- 5+ years of experience with SQL programming in a data warehouse or big data analytics environment
- 5+ years of experience developing business cases, visual insights, and PowerPoint presentations to drive business decision making
- 5+ years of experience analyzing data with Excel, BI and data wrangling tools (Power BI, Tableau, Alteryx, Dataiku, or similar)
- 5+ years of experience developing KPIs for performance and quality improvement initiatives
- Strong knowledge of user-centered design principles and visualization best practices
- In-depth knowledge of healthcare industry standards, regulations, and data privacy
- Strong analytical and problem-solving skills are essential, as well as time management, attention to detail, and adaptability
- Strong project management and organization skills
- Excellent communication skills, with the ability to collaborate effectively with cross-functional teams and present findings and results to various audiences
- Ability to work independently and effectively to drive projects to completion
- Ability to manage conflicting priorities and multiple projects concurrently
- An ability to travel up to 10% for meetings as needed
- Bachelor's degree in computer science, information technology, information systems, business, healthcare, or related field
- Demonstrated ability to synthesize complex data into actionable insights, strategic recommendations, and executive-level presentations that influence business decision-making highly desired
- Experience with Google Cloud Platform services such as BigQuery and Vertex AI
Benefits
- Eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above
- Includes an award target in the company’s equity award program
- Comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources, based on eligibility
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