Description

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
Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing quality healthcare data, and applying statistical analysis to create effectiveness analyses and other health outcomes analyses. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery of healthcare services. Provides support in completing regulatory reporting requirements and contributes to the development and execution of HEDIS strategy to ensure compliance and optimize performance in quality measurement initiatives.

Responsibilities include:

• Leads management of the quality data, regulatory reporting, and analytics function to help internal teams draw meaningful conclusions.

• Conducts thorough literature reviews, when appropriate, to understand the current state of quality initiatives to ensure understanding of industry benchmarks

• Designs and implements dashboards using PowerBI, Tableau, or other systems to present data in meaningful way to all different levels of audiences

• Determines best approaches to define data models, statistical methods, and data reporting to ensure sound data presentation

• Converts results of data analysis into meaningful business information to disseminate conclusions about the overall function of the department

• Performs quantitative and qualitative data analysis to strategize and achieve operational targets for NCQA HEDIS and Medicare Stars

• Provide analysis support for PIP reports to regulators, including statistical analysis of interventions and measure of impact of activities on performance

Required Qualifications

• At least 5 years experience in managed care, hospital, or similar healthcare environment
• Must have statistical analysis skills and able to analyze and interpret data
• 3+ years experience in Microsoft office Suite, especially Microsoft Excel and PowerPoint as well as Tableau and/or PowerBI or similar dashboarding software

• Must be articulate and able to communicate to multiple internal and external stakeholders

Preferred Qualifications

• Medicaid and/or Medicare managed care experience

Education

• Master's degree or equivalent work experience in healthcare data

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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:

• 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

We anticipate the application window for this opening will close on: 09/15/2025

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