Manager ,Business Analytics - Medicare Advantage

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

As a Manager, Business Analytics you will be part of the Medicare Grievance Team, responsible for managing business and system initiatives that focus on streamlining complaint processes and maintaining data integrity.

In this role, you will manage system projects and initiatives with emphasis on data exchanges, technical enablement, data acquisition, and automation. Furthermore, this role will require collaboration and coordination with Information Technology (IT) teams, MHK, Medicare Complaint leadership team, and other business partners/stakeholders.

Responsible for gathering technical and business requirements and drives the delivery of milestones to support organizational growth, value creation, and product portfolio. Constructs and analyzes business cases for new initiatives.

Creates reports, dashboards, and visualizations to present data-driven insights in a clear and concise manner. Analyzes trends and patterns to identify areas of improvement, efficiency gains, and opportunities for value creation. Uses statistical techniques, data mining, and predictive modeling to uncover patterns, trends, and correlations within the data. Applies critical thinking and problem-solving skills to derive meaningful insights that drive business decision-making.

Explores innovative tools and approaches to improve data analysis and drive continuous improvement within the organization. Plans and monitors internal projects from initiation through completion, ensuring on-time completion according to specifications and within budgeted costs. Designs cross-functional solutions to address business problems.

Acts as a liaison between the IT development group and business units for the development and implementation of new systems and enhancement of existing systems.

What you will do

• Evaluates new applications and identifies systems requirements.
• Works with our CRM vendor, MHK, to ensure enhancements are made timely and accurately.
• Participates in audit data universe gathering and analyzing.
• Evaluates evolving business requirements and recommends appropriate systems alternatives and/or enhancements to current systems.
• Prepares communications and makes presentations on system enhancements and/or alternatives.
• Conducts quantitative and qualitative analyses to assess business performance and identify opportunities for improvement.
• Conducts MHK testing during each code enhancement rollout.
• Build and maintain business quickbase tools.
• Compiles clear and comprehensive documentation, such as business requirement documents and use cases.
• Collects and analyzes business data to identify trends, patterns, and insights.
• Develops basic process maps, flowcharts, and diagrams to document as-is and to-be processes.
• Conducts feasibility studies and cost-benefit analyses for proposed solutions and assesses potential solutions, technologies, or systems to address business needs.
• Assists in conducting impact assessments and addressing user concerns during implementation.
• Conducts meetings, workshops, and presentations to gather feedback and validate requirements.
• Actively contributes to team meetings, brainstorming sessions, and collaborative projects, including sharing ideas, providing feedback, and contributing to the overall goals and objectives of the team.
• Contributes to the development and maintenance of standardized templates, guidelines, and methodologies.
• Seeks opportunities to enhance their skills and knowledge through training and certifications.

Required Qualifications

• 4+ year of experience as a Data Analyst or in a similar role.
• Knowledge of statistical analysis techniques and tools
• Proficient using QuickBase; building, editing, and repairing existing databases.
• Excellent communication and presentation skills.
• Well-versed in data analysis and data transformation.
• Excellent problem-solving skills and critical thinking ability.
• Strong collaboration and communication skills (written/oral) with the ability to communicate analyses, technical ideas, and results to non-technical clients.
• Ability to work in a fast-paced environment across multiple teams.
• Excellent knowledge using Excel, Access, Visio, Word and/or PowerPoint.
• Willingness to understand business needs and to create strategies around them.
• Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.
• Ability to articulate business needs with IT partners and vice versa.
• Ability to prioritize work and perform independently
• Proven track record leading or managing large projects
• 6+ years of experience with Medicare Advantage products

Preferred Qualifications

• 6+ year of experience as a Data Analyst or in a similar role.
• Proficiency using SAS/SQL/Python/R for data retrieval, manipulation, and transformation.
• Experience building, maintaining, and editing Tableau and Microsoft BI dashboards/reporting.
• 8+ years of experience with Medicare Advantage products
• Advanced Excel modeling skills with experience owning complex models end-to-end
• Advanced degree in Business, Finance, Accounting, or Healthcare
• 5+ years of experience with product management.

Education

Bachelor's Degree or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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: 03/22/2025

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