Senior Analyst, Business Analysis

CVS Health is building a world of health around every individual, and they are seeking a Senior Analyst for Business Analysis. The role involves providing consultation on product design and enhancement, researching complex data, and developing consultative relationships with customers.

Responsibilities:

• Provides consultation on the design, testing and enhancement of information product including technical assistance and product development support to external and internal customers
• Researches, manipulates and prepares complex data to document program activities and reports on its results
• Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to design efforts
• Develops a consultative relationship with internal/external customers
• May lead or act as a business technical expert with the planning, development and validation of master or detail test plans and strategies
• Performs ongoing research, and support tasks for existing systems
• Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions
• Provides Leadership/Coaching/Mentoring; may be a mentor to others
• Directs the implementation of program specific information through education, technology, organizational methods and procedures
• Influences enhancements to business processes and system infrastructure to improve data quality availability and access
• Manages customer contact and participates in internal and external health industry development efforts (e.g., performance measurements)
• Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis
• Consults with client on a regular basis to ensure progress is in line with customer's expectations and to obtain additional information as needed
• Translates complex data into constructive data and information and makes recommendations
• Defines, identifies, develops and implements information products to support strategic business and operational planning
• Illustrates complex information in a clear concise manner
• Develops and conducts presentations and consultations to existing and prospective customers and internal business areas
• Provides workgroup support on projects
• Educates customer on the value, use and interpretation of information product
• Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access
• Evaluates available software and data to deliver better business solutions

Requirements:

• 6+ Months Working experience reading and understanding claims
• Working knowledge of reading and reviewing claim and coding types
• 6+ Months of intermediate to advanced level knowledge of Excel (ability to manipulate large lines of data, work with formulas etc.)
• 6+ Months QNXT
• Excellent verbal and written communication skills
• MS Office (Word, Access DB and Info Path etc.)
• Extensive experience with databases as well interpretation and manipulation of related data
• Healthcare background
• MS SQL experience is a plus
• Remedy (Ticket Tracking) experience is a plus
• 3-5+ years of data interpretation and analysis experience
• Bachelor's degree preferred
• We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week
• Aetna Service Operations office/hub locations will be discussed with the selected candidate