Senior Analyst - Business Analytics

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.

***This position is classified as hybrid and will be filled ideally in Hartford, CT. Other core CVS office locations may be considered***

Position Summary

The Senior Analyst - Business Analytics will be a detail-oriented individual with strong data analysis and analytical skills who is able to work both independently and within a team. Self starter and desire to learn new and challenging things. Responsibilities include review of state regulations, review of compliance interpretation, writing business specifications, data quality review, data preparation and compliance to regulatory requirements.

Proficiency in all Microsoft Office software applications is required. Desired proficiencies and experience include: Audit Command Language (ACL), or SQL; technical capabilities relative to data mining & report generation; knowledge of claim processing, claim quality audit program, patient management, and/or a working understanding of Aetna products. The candidate will have excellent project management skills and will meet deadlines, balance multiple priorities and demonstrate flexibility. The candidate should exhibit the ability to quickly and positively adapt to a changing environment. It is essential that the candidate builds and maintains effective working relationships with peers, management and others within and across organizational lines. Also desired is demonstrated critical thinking and the ability to articulate ideas clearly and concisely, both orally and in writing. We value a desire and willingness to learn. Finally, the candidate will embrace compliance as a core competency.

Some overtime may be required.

Responsibilities:

• Proactively defines, identifies, develops and creates data responsive to regulatory requirements. Including but not limited to the following:

• Perform analytical work requiring ability to capture, analyze and interpret claims data

• Manage translation of business needs into business requirements

• Create complex queries; perform technical programming

• Proactively define, identify, develop and implements data reports responsive to regulatory requests and requirements

• Present data in clear organized format

• Support regulatory data requests related to Health Care Reform

• Creatively translate information using business knowledge and identify additional information needed to support analytical objectives

• Continuous monitoring of key day quality functions within data quality reports and trending month over month to identify problematic issues before release of data

• Recognizes abnormalities through the Data Quality report review and drill down process and explain those to the project team and understand the impact of any abnormalities across RDM and implements solutions

• Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions

• May assign work/deadlines to other team members

Required Qualifications

• 2 + years of data interpretation and analysis experience.

• Strong analytical, deductive, problem solving, and critical thinking skills.

• Good teamwork and collaboration skills.

• Solid meeting management and oral/written communication skills.

Preferred Qualifications

• Experience with databases as well interpretation and manipulation of related data. 

• Ability to learn on-the-fly, be flexible, and solve complex problems with a collaborative and optimistic attitude.

• Healthcare background – ability to review and interpret State/Federal regulations/legislation and create business requirements. 

• Experience in project management and process redesign.

• Strong organizational skills and meticulous attention to accuracy and compliance in reporting.

• Ability to manage multiple projects, tasks and deliverables simultaneously, reprioritizing as needed. 

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