Senior Informatics, Analyst

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.

Business Overview

At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. 

Position Summary
We are expanding the Revenue Integrity Analytics & Reporting team to support Medicare Advantage and ACA Risk Adjustment program evaluation activities. This Senior Analyst will serve as a subject matter expert on Medicare Advantage and ACA Risk Adjustment program evaluations and associated data, and will be responsible for:

• Compute CMS risk scores using risk adjustment models (MA CMS‑HCC / RxHCC; ACA HHS‑HCC )
• Standardize monthly program evaluation reporting with YOY/MOM trend views
• Migrate analytics from SAS to GCP BigQuery/AWS/Python
• Monitor data quality and collaborate with submission/finance/actuary on trend changes
• Triage stakeholder requests and deliver actionable financial insights to enable decision-making and strategic planning

Required Qualifications

• 3+ years of experience with data processing/analytics.
• 1+ years of experience with Python or SAS programming.
• 1+ years of experience writing SQL queries.

Preferred Qualifications

• 1+ years of experience in the healthcare industry.
• Experience with Cloud technologies (GCP/AWS). 
• Proficiency in Python programming.
• Ability to communicate with both technical and non-technical colleagues.
• Experience automating end-to-end processes.

Education

• Bachelor's degree or equivalent work experience required; advanced degree preferred.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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 that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.