Sr. Analyst, Results Management- Work From Home

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.

Position Summary
We are seeking a highly skilled and motivated Sr. Analyst, to join our team. The Results Management Senior Analyst will provide comprehensive support for frontline staff to director-level leadership for 1-2 programs, focusing on productivity metrics, staff performance metrics, and data trends. This role requires staying informed of clinical process updates and defining in-depth reporting logic specifications.

• Provide comprehensive support for frontline staff to director-level leadership for 1-2 programs related to productivity metrics, staff performance metrics, and data trends.
• Stay informed of clinical process updates to ensure accurate and relevant reporting.
• Define in-depth reporting logic specifications to support data analysis and decision-making.
• Conduct training sessions for new hire staff and new leadership for the programs they support.
• Plan, kick off, and conduct time studies to improve operational efficiency.
• Effectively navigate difficult conversations and employ de-escalation strategies when necessary.
• Identify and discuss root causes and action items to address issues.
• Collaborate with internal teams and external customers, including reporting partners, clinical program staff and leaders, quality team, program design, and executive leadership.

Required Qualifications

Education & Experience:

• 3-5+ years of experience in reporting, data analysis, or business intelligence.
• Experience working in payer healthcare, Utilization Management (UM), Care Management (CM), or clinical operations preferred.
• Strong knowledge of compliance and quality reporting requirements (CMS, NCQA, URAC, payer performance metrics).

Technical & Process Skills:

• Proficiency in Power BI, Tableau, SQL, Excel (advanced), QuickBase, or other reporting tools.
• Experience with data visualization, trend analysis, and KPI development.
• Strong analytical background with the ability to interpret complex datasets and translate findings into business insights.

Leadership & Soft Skills:

• Excellent communication skills, with the ability to present findings to executives and non-technical stakeholders.
• Strong attention to detail and problem-solving mindset.
• Ability to manage multiple reporting projects in a fast-paced environment.

Preferred Qualifications
Experience within Utilization Management and/or Case Management clinical operations.

Nursing License

Preferred Education & Experience:

• Experience working with payer healthcare data, UM/CM performance tracking, or regulatory compliance metrics.
• Knowledge of process improvement methodologies (Lean, Six Sigma, RCA frameworks).
• Prior experience supporting audit teams, compliance monitoring, or operational performance tracking.

Education

• Bachelor’s degree preferred, preferably in Nursing, Data Analytics, Business Intelligence, Healthcare Informatics, Operations Management, or a related field.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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. 
 

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 b