Senior Analyst, Population Health and HEDIS Analytics
CVS HealthWe’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.
Position Summary
Provides consultation to the ABHIL Quality Department, stakeholders, and National data teams based on analysis and identification of key drivers of results. Uses data to identify clinical trends, analyze high-cost claimants, population health and other clinical trends, evaluate performance results, monitor engagement, and collaborate on opportunities for improvement.
Utilizes statistical analysis, data visualization tools, and database queries to identify trends, patterns, and opportunities for quality improvement.
Develops and maintains performance metrics and dashboards to track and report on patient safety, clinical effectiveness, patient experience, and compliance with quality standards.
Contributes to quality improvement projects and initiatives by providing data-driven insights and recommendations.
Collaborates with cross-functional teams to design and implement evidence-based practices, care protocols, and process improvements.
Assists in conducting audits and performing chart reviews to monitor compliance with regulatory requirements and quality standards.
Prepares reports and presentations on quality metrics, performance trends, and improvement initiatives.
Creates reports that encourage transparency by communicating findings to stakeholders, including leadership, providers, and other relevant teams in a comprehensive manner.
Collaborates with various stakeholders to integrate new quality improvement efforts and facilitate the resolution of care coordination issues.
Assists in developing and delivering training programs on quality management principles, best practices, and data visualization tools.
Required Qualifications
- Advanced Excel skills (e.g., formulas, pivot tables, slicers, visualizations)
- Proficient Power BI skills (e.g., basic data modeling, data import, DAX)
- Advanced SQL Server Management Studio and best practices in commenting and writing succinct SQL code to perform ETL of large SQL databases
- Advanced skills at using AI engines (e.g., Microsoft Copilot) to optimize SQL coding and analytics
- Advanced SQL database table design skills (e.g., data dictionary, data validation)
- Advanced data peer review skills to always ensure that data is valid, accurate, and complete
- Advanced geospatial intelligence skills (e.g., choropleth, heatmaps, suitability analysis, mileage calculation, routing, caseload optimization, custom HEDIS gap closure interventions, custom population health management interventions, new member characteristics predictive models, vector data, raster data, geocoding, geoprocessing, map composition, custom labels, map books, data models) using ArcGIS Pro or QGIS
- Proficient in HEDIS measures and a basic understanding of NCQA stars
- Advanced population analytics & profiling (e.g., SDOH, IP, ER, OP, Dx, Rx, HEDIS, SOGI, GeoIntel)
- Excellent organizational skills (e.g., Microsoft SharePoint, Microsoft Teams, Microsoft Planner)
- Independent management of data analytics requests from specing to output generation
- In-depth root cause analysis into data variation and data quality issues
- In-depth data analyses re: HEDIS performance, population health management, SDOH disparities
- Training courses in geospatial analytics (or equivalent geospatial work experience)
Preferred Qualifications
- Positive attitude
- Excellent attention to detail
- Excellent verbal and written communication skills
- Excellent cross-functional collaboration skills
- Ability to deal with ambiguity and work in a fast-paced environment
- Excellent process improvement skills
- Excellent standardization skills
- Ability to adjust data analytics communication based upon the data literacy levels of audience
Education
- Bachelor’s Degree (REQUIRED)
- Master's Degree (PREFERRED)
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00This 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.