Healthcare Quality Analytics Lead

ISHE; Northern (KY); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Senior Quality Management Specialist to leverage data and technology to improve healthcare outcomes. You will design, implement, and maintain health information systems, while analysing quality data and applying statistical methods to drive performance in NCQA, HEDIS and Medicare Stars initiatives.

This role involves building dashboards (Power BI, Tableau), developing data models, and providing regulatory reporting support.

Qualifications

• 3+ years of experience with statistical analysis.
• 3+ years of experience in Microsoft Office Suite, especially Excel and PowerPoint, as well as Tableau, SQL and/or PowerBI.

Responsibilities

• Leads the management of quality data, regulatory reporting, and analytics functions to enable internal teams to draw meaningful, actionable conclusions.
• Designs and develops dashboards and reporting solutions (e.g., Power BI, Tableau) to effectively communicate insights to a range of audiences.
• Defines and implements data models, statistical methodologies and reporting frameworks to ensure accurate, reliable and scalable data analysis.
• Translates analytical findings into clear business insights, informing decision-making and driving performance improvement across the Quality function.
• Performs quantitative and qualitative analyses to support achievement of NCQA, HEDIS, Medicare Stars and other quality performance metrics.
• Leads analysis of intervention effectiveness, including evaluation of programme impact, return on investment and contribution to measure performance improvement.
• Partners with clinical, operations and quality leadership to inform measure-level strategy, including identification of performance gaps and ongoing optimisation of improvement efforts.
• Provides analytical support for regulatory reporting (e.g., PIPs), including statistical analysis of interventions and evaluation of their impact on performance outcomes.

Skills

Statistical analysis

Education

Associate's degree

Tools

Excel

PowerPoint

Tableau

SQL

PowerBI

Job description

CVS Health is seeking a Senior Quality Management Specialist to leverage data and technology to improve healthcare outcomes. You will design, implement, and maintain health information systems, while analysing quality data and applying statistical methods to drive performance in NCQA, HEDIS and Medicare Stars initiatives.

This role involves building dashboards (Power BI, Tableau), developing data models, and providing regulatory reporting support.