We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them.
The Senior Manager, Business Analytics is an individual contributor position that will work in partnership with business leaders, clinicians, analysts, and external stakeholders to develop strategies for analytics solutions. This includes developing measurement strategies to monitor, report, and present performance indicators to internal business leaders and external stakeholders.
*This role can be remote in the US and must align with either Central or Eastern time zone work schedules
Key Components
Serves as a trusted partner and advisor to business leaders.
Manages communications with external providers and vendor partners to drive improvement in clinical quality, access, member experience, and other performance outcomes.
Develops robust business cases, visual insights, and presentations to communicate clear quality improvement objectives, metric definitions, evaluation methods, and performance results to various audiences.
Presents clear, data-driven narratives, visualizations, and recommendations to business leaders and stakeholders to drive informed business decisions.
Develops project plans, timelines, and implements project objectives on time from start to finish.
Collaborates with internal and external stakeholders to translate business needs into requirements.
Performs analyses using healthcare claims, clinical, and financial data in a relational database environment, including development of SQL queries and stored procedures.
Deve3/16lops reports and dashboards by combining and aggregating data from multiple sources.
Interprets results and makes recommendations for improved processes, metric definitions, and evaluation methods.
Performs extensive data validation to ensure results meet stakeholder needs.
Prepares documentation such as process diagrams, wireframes, metric definitions, and pseudocode.
Monitors availability, consistency, and accuracy of business data.
Provides feedback and advice to management to guide decision making.
Required Qualifications
7+ years of healthcare payor or provider experience managing analytics, quality measurement and improvement initiatives.
5+ years of experience conducting analysis with healthcare claims and services data.
5+ years of experience with SQL programming in a data warehouse or big data analytics environment.
5+ years of experience developing business cases, visual insights, and PowerPoint presentations to drive business decision making.
5+ years of experience analyzing data with Excel, BI and data wrangling tools (Power BI, Tableau, Alteryx, Dataiku, or similar).
5+ years of experience developing KPIs for performance and quality improvement initiatives.
Strong knowledge of user-centered design principles and visualization best practices.
In-depth knowledge of healthcare industry standards, regulations, and data privacy.
Strong analytical and problem-solving skills are essential, as well as time management, attention to detail, and adaptability.
Strong project management and organization skills.
Excellent communication skills, with the ability to collaborate effectively with cross-functional teams and present findings and results to various audiences.
Ability to work independently and effectively to drive projects to completion.
Ability to manage conflicting priorities and multiple projects concurrently.
An ability to travel up to 10% for meetings as needed
Preferred Qualifications
Demonstrated ability to synthesize complex data into actionable insights, strategic recommendations, and executive-level presentations that influence business decision-making highly desired.
Experience with Google Cloud Platform services such as BigQuery and Vertex AI
Education
Bachelor's degree in computer science, information technology, information systems, business, healthcare, or related field
Master's degree in Healthcare Administration, Public Health, or a related field preferred.
Pay Range
The typical pay range for this role is:
$67,900.00 - $149,328.00
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. This position also includes an award target in the company’s equity award program.
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
- 7+ years of healthcare payor or provider experience managing analytics, quality measurement and improvement initiatives
- 5+ years conducting analysis with healthcare claims and services data
- 5+ years of SQL programming in a data warehouse or big data analytics environment (including stored procedures)
- 5+ years developing business cases, visual insights, and PowerPoint presentations to drive business decision making
- 5+ years analyzing data with Excel, BI and data wrangling tools (Power BI, Tableau, Alteryx, Dataiku, or similar)
- 5+ years developing KPIs for performance and quality improvement initiatives
- Strong knowledge of user-centered design principles and visualization best practices
- In-depth knowledge of healthcare industry standards, regulations, and data privacy
- Strong analytical, problem-solving, time management, attention to detail, and adaptability skills
- Strong project management and organization skills; ability to manage conflicting priorities and multiple projects concurrently
- Excellent communication skills and ability to collaborate with cross-functional teams and present findings to various audiences
- Ability to work independently and effectively to drive projects to completion
- Role can be remote in the US and must align with Central or Eastern time zone work schedules
- Ability to travel up to 10% for meetings as needed
- Bachelor's degree in computer science, information technology, information systems, business, healthcare, or related field
- Master's degree in Healthcare Administration, Public Health, or related field
- Demonstrated ability to synthesize complex data into actionable insights, strategic recommendations, and executive-level presentations
- Experience with Google Cloud Platform services such as BigQuery and Vertex AI
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.
