To develop and deliver decision support tools, reporting applications, insights and business intelligence based on advanced analyses and studies to support Medicaid Appeal and Grievance. This involves extracting, collecting, analyzing and interpreting health, utilization and financial data from many sources to address business questions regarding population health management, health and economic outcomes, quality of healthcare, healthcare program and product design, healthcare provider network design and other business needs.
Under direct supervision, conducts analyses or produces reports of varied healthcare data to assist in the assessment of health and economic outcomes.
Produces results including, but not limited to: lists, reports, graphical summaries and statistical tests.
Designs and codes efficiently using SAS/SQL programs.
Extracts clinical and financial healthcare data from multiple sources and creates integrated analytic data sets.
Performs the following aspects of data analysis: programming, data management, data acquisition and documentation).
Assesses data and analyzes quality to identify and correct data issues.
Under supervision, performs univariate and multivariate statistical analyses. Documents methods, specifications, and results clearly.
Communicates information in a clear and concise manner.
Develops efficient reporting applications and processes. Receives direct supervision on a continual basis.
The typical pay range for this role is:
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Proficient computer skills and knowledge of Microsoft Word, Excel and Access
Demonstrated analytical and problem-solving skills.
Understanding of relational databases, data systems and data warehouses.
Experience in statistical analysis and database management.
Knowledge of analytic programming tools and methods (SAS, SQL, OLAP, Business Objects, Crystal).
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
One or more years of programming, or data analysis experience, knowledge of healthcare or pharmaceutical industry preferred.
Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic.
Strong SQL and SAS programming skills (e.g., SAS Base, SAS STAT, SAS Macros)
Bachelors degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.