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.

*This role can be remote in the US and must align with either Central or Eastern time zone work schedules

Key Components

• 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.

• Deve3/16lops 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.

Required Qualifications

• 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

Preferred Qualifications

• Experience with Google Cloud Platform services such as BigQuery and Vertex AI.

• Experience with BI, data wrangling, and reporting tools (Tableau, Power BI, Alteryx, Dataiku, Business Objects, or similar)

Education

• Bachelor's degree in computer science, information technology, information systems, business, healthcare, or related field

• Master’s degree preferred

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.