Health And Benefits- Senior Advisor Analytics

CVS Health Northbrook , IL 60062

Posted 1 month ago

Job Description:

Are you passionate about data AND helping patients improve their health? Consider the position of Healthcare Analytics Sr. Advisor, where your work directly informs the decision making regarding the employee health plan benefit designs and related programs. As a key member of the analytics team, you will:

  • Act as a strategic partner and analytic product owner to the Health and Wellness Benefits business partners to translate business questions analytic projects leading to actionable intelligence.

  • Understand the key drivers of business value and incorporate that knowledge into design of analytic solutions

  • Develop analytic solutions and recommendations 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.

Key job functions include, but are not limited to, the following:

  • Translating business problems into analytic questions and designing solutions by selecting appropriate analytic techniques, ranging from descriptive to advanced modeling and machine learning

  • Constructing and manipulating large electronic claims datasets (medical and pharmacy, and other potential data sources) using R, Python, SAS and/or SQL;

  • Developing study designs to assess program performance 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;

  • Identify 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 collaboration with data vendor to analyze large analytic datasets and effectively utilize the vendor-provided tools and assets;

  • 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

To be considered for this position you must have the following:

  • 5-7 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).

  • Knowledge of advanced analytic tools and approaches to analyze data from multiple data sources

  • 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

Background in public health studies preferred

Education

Bachelor's degree in a discipline relevant to application of data and statistical analysis in a healthcare setting. Advanced degree strongly preferred.

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.

At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country's health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19

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. Please note that we only accept applications for employment via this site.

We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or cvshealthsupport@us.ibm.com. For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or cvs_support@modernhire.com.


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