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Advisor, Health and Benefits Analytics

at CVS Health

Posted: 10/8/2019
Job Reference #: 1067891BR
Keywords: management

Job Description

Job Description
Are you passionate about data AND helping patients improve their health? Consider the position of Healthcare Analyst, where your work directly informs the evaluation of employee health plan benefit designs and related programs. As a key member of the analytics team, you will:
- Be a strategic partner and collaborate with Health and Wellness Benefits business partners to translate business questions into results and actionable intelligence.
- Develop reports for executive levels leaders to help drive decisions to optimize health and benefit designs.
- Monitor both pharmacy and medical cost and utilization trends to identify opportunities to better manage costs and improve health outcomes, including completing ongoing trend management reviews and making recommendations to manage pharmacy and overall medical spend.
- Develop risk profiles of benefit plan participants to target prevention and wellness programs
* Design evaluations to test effectiveness of improved network arrangements, plan designs, and wellness initiatives.
- Perform data management and analysis using advanced data processing and management tools.

This position includes 10-15% travel to the customer site in the South Eastern United States.

Key job functions include, but are not limited to, the following:
- Constructing and manipulating large electronic claims datasets (medical and pharmacy, and other potential data sources) using R, Python, SAS and/or SQL;
- Conducting extensive data analyses, ranging from descriptive reports using built-in tools of the benefit aggregation data systems, to developing a customer reporting packages, to multivariate regression on detailed medical claims data to evaluate health plan network changes;
- Developing study designs and analytic solutions based on business partners’ needs and timelines using available data, including medical/pharmacy claims, beneficiary health risk assessment (HRA) data, benefits eligibility data, and other vendor data;
- Identifying population segments to assess medication adherence, and medical care and quality outcomes using standard industry metrics and performance benchmarks;
- Managing multiple projects related to a wide variety of business needs;
- Responding to ad-hoc business partner data requests within set timelines;
- Collaborating with key internal and external stakeholders to gather and analyze needs and requirements, including monthly and ad hoc collaboration with data vendor to receive large analytic datasets and effectively utilize the web-based data tool;
- Presenting analytic findings in a variety of formats (Tableau dashboards, excel workbooks, PPT, graphs, figures and tables), formulating recommendations based on analytic findings, and effectively presenting the results to non-analytic audiences.

Required Qualifications
- 3-4 years of demonstrated analytic experience using electronic medical administrative claims data;
- Experience with and demonstrated proficiency in R, Python, SAS and/or SQL for data access, manipulation, and analysis using large datasets;
- Experience in analysis of health services utilization patterns including defining healthcare cost and utilization outcomes (i.e. hospital readmissions, emergency room utilization, etc.), analysis population selection and matching criteria, confounding adjustment techniques, and statistical methodology (e.g., linear and non-linear regression, longitudinal repeated measures).
- Data visualization proficiency with Tableau or similar
- Broad understanding of the healthcare insurance marketplace and industry trends, including federal programs related to value based care;
- Excellent problem solving skills;
- Excellent written and oral communication skills, ability to interact with and influence decision-making by non-analytical business audiences and executive level leaders.

Preferred Qualifications
- Exposure to population health analytic techniques
- Exposure to predictive analytics, model driven risk stratification and patient segmentation

Master’s degree in a discipline relevant to application of data and statistical analysis in a healthcare setting. Candidates with a Bachelor’s degree and relevant additional work experience will also be considered

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

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