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Job Information

CVS Health Senior Informatics Analyst - WAH in Sandy, Utah

Job Description

Program Overview

Help us elevate patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country.

Fundamental Components

Position Summary

To perform analyses of varied healthcare data to evaluate program performance, utilization analysis and compliance using healthcare medical, pharmacy, lab, survey, and utilization data

Fundamental Components

  • Elicit business reporting requirements to design and create new reports and modify existing reports.

  • Designs and codes efficiently using SAS/SQL programs.

  • Extracts data from multiple sources, visualizes data, and creates integrated analytic datasets to meet business needs

  • Participates in presentations and consultations as a DSNP subject matter expert (SME) to internal and external constituents on information services, capabilities, and performance results to include multiple compliance and regulatory reports, for both CMS and for the State

  • Documents methods, specification’s, and findings clearly; contributes to writing and presentation of analysis, findings, and conclusions

  • Creates and evaluates the data needs of assigned projects and assures the integrity ofthe data for compliance for federal and regulatory reporting

  • Participates in the development of project plans and timelines

Background Experience

Background Experience

  • Demonstrated written and verbal communication skills.

  • Able to present information to various audiences

  • 3+ years of relevant programming or analytic experience

  • Medicare Healthcare industry experience is preferred

  • Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic anddata warehouse environment

  • Knowledge of analytic programming tools and methods (SAS, SQL, OLAP, Business Objects, Crystal, Macros)

  • Strong knowledge of Medicare health care claims and Medicare benefits for utilization analysis

  • Demonstrated analytical and problem-solving skills

  • Experience in investigating, evaluating, and analyzing data to meet business needs for program enhancement and compliance

Education and Certification Requirements

  • Bachelor's degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.

Education

Bachelor's degree or equivalent experience

Percent of Travel Required

0 - 10%

Business Overview

Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. 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.

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