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Sr. Analyst – Results Management
| Company | CVS Health |
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| Location | Rhode Island, USA |
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| Salary | $46988 – $112200 |
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| Type | Full-Time |
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| Degrees | Bachelor’s |
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| Experience Level | Senior |
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Requirements
- 3-5+ years of experience in reporting, data analysis, or business intelligence.
- Strong knowledge of compliance and quality reporting requirements (CMS, NCQA, URAC, payer performance metrics).
- Proficiency in Power BI, Tableau, SQL, Excel (advanced), QuickBase, or other reporting tools.
- Experience with data visualization, trend analysis, and KPI development.
- Strong analytical background with the ability to interpret complex datasets and translate findings into business insights.
- Excellent communication skills, with the ability to present findings to executives and non-technical stakeholders.
- Strong attention to detail and problem-solving mindset.
- Ability to manage multiple reporting projects in a fast-paced environment.
Responsibilities
- Provide comprehensive support for frontline staff to director-level leadership for 1-2 programs related to productivity metrics, staff performance metrics, and data trends.
- Stay informed of clinical process updates to ensure accurate and relevant reporting.
- Define in-depth reporting logic specifications to support data analysis and decision-making.
- Conduct training sessions for new hire staff and new leadership for the programs they support.
- Plan, kick off, and conduct time studies to improve operational efficiency.
- Effectively navigate difficult conversations and employ de-escalation strategies when necessary.
- Identify and discuss root causes and action items to address issues.
- Collaborate with internal teams and external customers, including reporting partners, clinical program staff and leaders, quality team, program design, and executive leadership.
Preferred Qualifications
- Experience working in payer healthcare, Utilization Management (UM), Care Management (CM), or clinical operations preferred.
- Experience within Utilization Management and/or Case Management clinical operations.
- Nursing License
- Experience working with payer healthcare data, UM/CM performance tracking, or regulatory compliance metrics.
- Knowledge of process improvement methodologies (Lean, Six Sigma, RCA frameworks).
- Prior experience supporting audit teams, compliance monitoring, or operational performance tracking.
