Job Description Under limited supervision, conducts analyses or produces reports of varied healthcare data to assess health and economic outcomes of Aetna products and programs. This position will be responsible to analyze and document business data and processes, recommend technical solutions and create reports or other solutions as needed to support business needs. Daily activities will include collaborating with business / other auditor team members to understand their processing control and business risk, structure data analysis, driving analytical insights, and analytical solutions. Understands and recommends analytics techniques to auditors. Solves problems and takes a new perspective on existing solutions. Development of solutions with high complexity and risk. Presents recommendations to senior staff and Business owners. Performed complex data analysis in support of ad-hoc and standing management or customer requests in the Financial, IT, and E&Y Auditor. Developed programs and files for analyzing and presenting data. Designing and developing scalable data using Alteryx or other Data Analytics tools for data cleansing, integration, and auditing to identify audit exceptions. Structure data analysis, driving analytics insights, and analytical solutions to help auditors determine the best analytical solution. Develops Alteryx workflow and Alteryx App for complex projects. Focus of the Role: âˆ™ Perform big data analytics (Alteryx, Python, R, SQL, Database Systems, etc.) on vast healthcare data sets. âˆ™ Utilize advanced analytics, data science (predictive modeling, deep learning, etc.) and data mining (NLP) to mitigate business risk and identify internal risk factors from IT and financial perspective. âˆ™ Leverage and identify cutting-edge IT applications (RPA, AI tools, etc.) to achieve operational excellence. âˆ™ Utilizing business intelligence methods, analyze and visualize data to perform complex data analysis in support of ad-hoc and standing management or customer request.
Required Qualifications 5 or more years of relevant programming and/or analytic experience in a professional and/or academic setting.
COVID Requirements COVID-19 Vaccination Requirement CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications Master's Degree Preferred. Demonstrated written and verbal communication skills. Able to present information to various audiences. Healthcare or pharmaceutical 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. Understanding of relational databases, data systems and data warehouses. Experience in statistical analysis and database management. Knowledge of analytic programming tools and methods (SAS, Alteryx, Python, R, Automation Anywhere). Deep knowledge of health care industry, policy, research design, univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools. Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources. Strong knowledge of health care claims, products, and systems. Solid Understanding of complex databases and UNIX or mainframe environments. Strong SQL and SAS programming skills (e.g., SAS Base, SAS STAT, SAS Macros) Demonstrated analytical and problem-solving skills.
Education Bachelor's degree required; Preferably in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.
Business Overview At CVS Health, 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 strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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.
Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.
At CVS Health, we work every day to help people on their path to better health. Never has it been more important for us to deliver on our purpose to our valued customers, patients, members, and employees. With a presence in communities across the country, CVS Health colleagues are and will continue to be a critical piece of the country’s health care solution. The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. If you would like to learn about the actions we are taking as a company as we learn more about COVID-19 and its spread, we encourage you to visit our COVID-19 resource center at https://cvshealth.com/covid-19
We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to... attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.
CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran – we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. Please note that we only accept applications for employment via this site.
We provide reasonable accommodations to qualified individuals with disabilities. If you need to request an accommodation, a qualified interpreter, written information in other formats, translation or other services, please contact our Advice and Counsel Reasonable Accommodations team by emailing Advice and Counsel Reasonable Accommodations team or calling 877-805-9511.
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