Senior Analyst - Business Analytics, CVS Health

CVS Health

Location:
United States, Woonsocket

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

46988.00 - 112200.00 USD / Year

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Job Description:

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. The Senior Analyst - Business Analytics will be detail-oriented and possess strong analytical skills to review compliance interpretation, write business specifications, and prepare data quality reports. You will proactively identify issues, present data, and define business requirements while maintaining effective relationships across teams, showcasing adaptability and a desire to learn.

Job Responsibility:

Support regulatory data requests related to All Payer Claims Databases (APCD)
continuous monitoring of key data quality functions within data quality reports and trending month over month to identify problematic issues before release of data
recognize 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 states and implements solutions
proactively define, identify, develop and create data responsive to regulatory requirements
manage translation of business needs into business requirements
lead or act as a business technical expert in the design of new applications or enhancements including integration of solutions
perform analytical work requiring ability to capture, analyze and interpret claims data
create complex queries and perform technical programming
proactively define, identify, develop and implement data reports responsive to regulatory requests and requirements
present data in clear organized format
creatively translate information using business knowledge and identify additional information needed to support analytical objectives
may assign work/deadlines to others.

Requirements:

Proficiency in all Microsoft Office software applications
All Payer Claims Database (APCD) experience
Audit Command Language (ACL) or SQL
knowledge of claim processing, claim quality audit program, patient management, and/or a working understanding of Aetna products
technical capabilities relative to data mining & report generation
excellent project management skills
ability to meet deadlines, balance multiple priorities and demonstrate flexibility
ability to quickly and positively adapt to a changing environment
ability to build and maintain effective working relationships with peers, management and others within and across organizational lines
demonstrated critical thinking
ability to articulate ideas clearly and concisely, both orally and in writing
desire and willingness to learn
ability to embrace compliance as a core competency.

Nice to have:

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
knowledge of all types of health care products including HMO, PPO, Medicare Advantage and Medicare Part D
knowledge of all types of pharmacy products including specialty drug, Medicare Part D and understanding of PBM operations
working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook, SharePoint) and Chrome
excellent verbal and written communication skills
experience with databases as well interpretation and manipulation of related data.

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
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 including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access.

Additional Information:

Job Posted:
September 30, 2025

Expiration:
October 31, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Analyst - Business Analytics