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Position Summary
This role in the Informatics team within Aetna’s Medicaid Business Unit (MBU) delivers analytics, reporting, and insights that support the growing P4P Quality Incentive Portfolio and related strategic initiatives. In this individual contributor role, you will partner with cross-functional stakeholders to translate evolving business questions into governed datasets, repeatable analytic methods, and clear, actionable insights across 10+ Medicaid markets. You will execute complex data queries, integrate and validate healthcare data from multiple sources, and assess health and economic outcomes to inform decisions.
What success looks like
- Publish trusted KPI dashboards and recurring reports used by Quality, Finance, and Market & Organizational leadership for performance management and incentive forecasting
- Produce reproducible, well-documented analyses (logic, assumptions, methodology) that stand up to stakeholder review and audit needs
- Turn ambiguous questions into clear requirements, appropriate analytic approaches, and actionable recommendations
- Deliver high-quality work in fast-moving environments.
This role supports a portfolio of enterprise and market-facing analytics products that drive performance management, incentive forecasting, and strategic decision support across Medicaid markets. Examples include:
- P4P & Quality Incentive Dashboard: Dashboards for quality incentive tracking, P4P projections, and enterprise-wide performance visibility
- Medicaid Optimizer Dashboard: Market-level modeling and reporting (e.g., dollar-per-compliant-member estimates) to support prioritization and investment decisions
- Off-Cycle CAHPS Survey Dashboard: a centralized view of member experience insights collected between annual CAHPS fielding periods, enabling health plans to proactively monitor performance and respond faster to emerging issues.
- Engagement & Campaign Performance Dashboard: Performance tracking to support cross-functional outreach initiatives
- Ad hoc Strategic Analysis: Rapid-turn analysis for P4P scenarios, ROI projections, and executive decision support
Job Responsibilities
- Data Engineering & Analysis: Write robust, efficient code in SQL/GCP to extract, manipulate, and analyze large healthcare datasets across diverse data pipelines
- Dashboard Development & Data Visualization: Design, deploy, and maintain data visualizations and dashboards to calculate vital KPIs (P4P dollar projections, quality incentive tracking, ROI analysis) and recommend actionable insights for leaders
- Strategic Partnership: Work closely with executive leadership and health plan leaders to provide project updates, flag barriers, build advanced trend and ad hoc reports, and deliver robust insights
- Stakeholder Consultation: Develop and participate in presentations and consultations with health plan leaders on data capabilities, methodologies, and performance results
- Documentation & Governance: Document data logic and plan methodology used in analyses; ensure reproducibility and transparency of results
- Business Acumen: Understand Medicaid business operations and state plan methodologies to enable smooth partnership with business leaders across 10+ markets.
- Cross-Functional Collaboration: Partner with Finance, Healthcare Quality, IT, BIS, Medical Affairs, and Market & Organizational leadership on data integration and quality initiatives.
Required Qualifications
- 3+ years of data analytics experience (healthcare/Medicaid preferred)
- 3+ years of experience with healthcare data (e.g., enrollment, claims, HEDIS) in a data warehouse environment; GCP/BigQuery preferred
- 3+ years using advanced SQL to query and manipulate large datasets in a relational database environment, including integrating multiple data sources
- 3+ years creating dashboards and data visualizations that drive decisions (Tableau preferred)
- 3+ years creating reports and pivot tables in Excel
- Healthcare quality measure familiarity (e.g., HEDIS, CAHPS, P4P/quality incentive programs) preferred
- Ability to interpret technical specifications and communicate technical concepts to non-technical audiences (written and verbal)
- Strong problem-solving and critical-thinking skills; adept at probing into granular details of big data and complex technical processes
- Strong collaboration and communication skills across teams; organized, attentive to detail, able to manage conflicting priorities, work independently under general direction, and meet commitments
Education
Masters in related field preferred; Bachelors ok
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.
Skills Required
- 3+ years of data analytics experience
- 3+ years of experience with healthcare data, such as enrollment, claims, or HEDIS, in a data warehouse environment
- 3+ years of experience using advanced SQL to query and manipulate large datasets in a relational database environment, including integrating multiple data sources
- 3+ years of experience creating dashboards and data visualizations that drive decisions
- 3+ years of experience creating reports and pivot tables in Excel
- Familiarity with healthcare quality measures such as HEDIS, CAHPS, and P4P or quality incentive programs
- Ability to interpret technical specifications and communicate technical concepts to non-technical audiences
- Strong problem-solving and critical-thinking skills, including analyzing granular details of large datasets and complex technical processes
- Strong collaboration and communication skills; organization, attention to detail, ability to manage conflicting priorities, work independently, and meet commitments
- Master's degree in a related field
- Bachelor's degree in a related field
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
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Retirement Support — A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
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Wellbeing & Lifestyle Benefits — Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.
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What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
