Senior Analyst - Business Analytics, CVS Health

CVS Health

Location:
United States

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

46988.00 - 112200.00 USD / Year

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Job Description:

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. Responsibilities include review of All Payers Claim Database (APCD) state regulations, review of compliance interpretation, writing business specifications, data quality review, data preparation and compliance to regulatory requirements.

Job Responsibility:

Support regulatory data requests related to All Payer Claims Databases (APCD)
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 states and implements solutions
Proactively defines, identifies, develops and creates data responsive to regulatory requirements
Manage translation of business needs into business requirements
Leads or acts 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
perform technical programming
Proactively define, identify, develop and implements 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:

3+ years of Data Quality review and identification of abnormalities
3+ years of data interpretation and analysis experience
2+ years of Project Management with ability to manage multiple projects and deliverables
Bachelors Degree required or equivalent years of experience
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
Builds and maintains effective working relationships with peers, management and others within and across organizational lines
Demonstrated critical thinking and the ability to articulate ideas clearly and concisely, both orally and in writing
Desire and willingness to learn
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
Ability to manage multiple projects, tasks and deliverables simultaneously, reprioritizing as needed
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 with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program

Additional Information:

Job Posted:
October 15, 2025

Expiration:
October 31, 2025

Employment Type:

Fulltime

Work Type:

Hybrid work

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Senior Analyst - Business Analytics