Senior Manager, Business Analytics

CVS Health is dedicated to shaping a more connected and compassionate health experience. The Senior Manager, Business Analytics will support Aetna members by translating complex data into actionable insights that improve mental health outcomes and drive data-driven decision-making through collaboration with various stakeholders.

Responsibilities:

• Serves as a trusted partner and advisor to business leaders
• Manages communications with external providers and vendor partners to drive improvement in clinical quality, access, member experience, and other performance outcomes
• Develops robust business cases, visual insights, and presentations to communicate clear quality improvement objectives, metric definitions, evaluation methods, and performance results to various audiences
• Presents clear, data-driven narratives, visualizations, and recommendations to business leaders and stakeholders to drive informed business decisions
• Develops project plans, timelines, and implements project objectives on time from start to finish
• Collaborates with internal and external stakeholders to translate business needs into requirements
• Performs analyses using healthcare claims, clinical, and financial data in a relational database environment, including development of SQL queries and stored procedures
• Develops reports and dashboards by combining and aggregating data from multiple sources
• Interprets results and makes recommendations for improved processes, metric definitions, and evaluation methods
• Performs extensive data validation to ensure results meet stakeholder needs
• Prepares documentation such as process diagrams, wireframes, metric definitions, and pseudocode
• Monitors availability, consistency, and accuracy of business data
• Provides feedback and advice to management to guide decision making

Requirements:

• 7+ years of healthcare payor or provider experience managing analytics, quality measurement and improvement initiatives
• 5+ years of experience conducting analysis with healthcare claims and services data
• 5+ years of experience with SQL programming in a data warehouse or big data analytics environment
• 5+ years of experience developing business cases, visual insights, and PowerPoint presentations to drive business decision making
• 5+ years of experience analyzing data with Excel, BI and data wrangling tools (Power BI, Tableau, Alteryx, Dataiku, or similar)
• 5+ years of experience developing KPIs for performance and quality improvement initiatives
• Strong knowledge of user-centered design principles and visualization best practices
• In-depth knowledge of healthcare industry standards, regulations, and data privacy
• Strong analytical and problem-solving skills are essential, as well as time management, attention to detail, and adaptability
• Strong project management and organization skills
• Excellent communication skills, with the ability to collaborate effectively with cross-functional teams and present findings and results to various audiences
• Ability to work independently and effectively to drive projects to completion
• Ability to manage conflicting priorities and multiple projects concurrently
• An ability to travel up to 10% for meetings as needed
• Experience with Google Cloud Platform services such as BigQuery and Vertex AI
• Experience with BI, data wrangling, and reporting tools (Tableau, Power BI, Alteryx, Dataiku, Business Objects, or similar)