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Position Summary
**This position will support East Coast hours, starting by 9:00 am ET.**
Aetna Clinical Enablement (ACE) has an exciting opportunity for an Informatics Manager to join our HEDIS Measures Validation Team. The Healthcare Effectiveness Data and Information Set (HEDIS) is one of the most widely used healthcare quality data sets in the country. HEDIS reporting is a requirement for NCQA Health Plan Accreditation, CMS Medicare Advantage, Medicare Stars, Exchange, Medicaid, and many states. HEDIS measure results are used within the enterprise and externally to drive quality initiatives that improve the health of Aetna’s members. The HEDIS Measures Validation Team is responsible for supporting internal stakeholders, measure and run issue research and resolution, identifying measure and technology opportunities, providing HEDIS measure data and research to support initiatives, and the business oversight of HEDIS projects.
In this role you will apply HEDIS measure, data, and technical platform knowledge to perform complex research and analytics in support of internal HEDIS reporting for high profile stakeholders. You will apply CVS Heart-at-Work behaviors to work successfully in a team-based environment where team members work together and support each other to achieve greater excellence.
Required Qualifications
- 3+ years of data analytics experience
- 3+ years experience with health care data (enrollment, claims, lab) in a data warehouse environment
- 3+ years experience using advanced SQL querying abilities in a large relational database environment including the ability to handle large datasets from multiple data sources
- 3+ years experience creating reports and pivot tables in Excel
- Ability to interpret technical specifications
- Ability to communicate technical concepts to non-technical audiences (written and verbal)
- Adept at probing into granular details of big data and complex technical processes
- Strong problem solving skills and critical thinking ability
- Strong collaboration and communication skills within and across teams
- Experience working with health care data sources (enrollment, claims, lab, etc)
- Be organized and exhibit attention to detail
- Ability to manage conflicting priorities and multiple projects concurrently
- Ability to work independently under general direction
- Accountable for meeting commitments
- Driven to provide an excellent customer experience for stakeholders.
- Experience with Agile methodology in the Product Owner role
Preferred Qualifications:
- Experience with HEDIS or other quality measurement program
- Experience with Google Cloud Platform (GCP) administration
- Experience with BigQuery data platform
- Agile Product Owner experience
Education:
Bachelor's Degree or equivalent work experience required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$54,300.00 - $159,120.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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