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.
Position Summary
Reporting to the Lead Director of ACA Revenue Integrity, the Analyst, ACA Revenue Integrity will work closely with subject matter experts across the ACA Individual (IFP) business to establish and champion local market culture committed to revenue integrity excellence. In collaboration with the Executive Director and Revenue Integrity Centers of Excellence, this position is responsible for creating and delivering analysis and analytic solutions to meet business needs, interacting directly with internal colleagues. Analysis will focus on member and provider specific intervention opportunity and effectiveness around complete and accurate diagnosis capture and reporting.
- Generate reporting specific to ACA-Revenue Integrity efforts for various governance, market, and executive leadership meetings.
- Design and conduct month over month member specific outcome reporting for market/provider specific member gap targeting.
- Support the data integrity of the ACA RAD working closely with the Informatics team and team project manager to identify and implement data enhancements as well as resolve issues.
- Support the ACA supplemental process working closely with the RI Data Submission Team on submission error resolution opportunities as well as the RI Business Operations Group and RI National Program leads in the support of resolving supplemental data submission errors.
- Create and evaluate the data needs of assigned projects and assures the integrity of the data.
- Independently executes analyses or reports to meet project needs or at the request of the Executive director.
- Support other RI ACA initiative as required.
Required Qualifications
- 3+ years professional experience in an analytical role
- Exceptional mathematical skills and statistical analysis abilities
- Strong Excel skills; proficiency in VBA a plus
- Excellent written and verbal communication skills
Preferred Qualifications
- Experience with SQL, Tableau, or similar data visualization tools
- Experience in the healthcare industry and Medicare or ACA risk adjustment
Education
Bachelor’s degree
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00
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:
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Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
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No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
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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
We anticipate the application window for this opening will close on: 06/09/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
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.
