Healthcare Quality Analytics Lead

CVS Health; Oklahoma; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Healthcare benefits

Bonus potential

Job summary

CVS Health seeks a Senior Quality Management Specialist to leverage data and technology to improve healthcare outcomes. You will design, implement, and maintain health information systems, analyze quality data, and apply statistics to create analyses that inform performance improvements in quality measures.

You will support HCPCS/HEDIS related reporting, develop dashboards (Power BI/Tableau), and collaborate with clinical, operations, and quality leaders to drive data-driven decision making and

Qualifications

• 3+ years of experience with statistical analysis, including an ability to analyse and interpret data.
• 3+ years of experience in Microsoft Office Suite, especially Microsoft Excel and PowerPoint, as well as Tableau, SQL and/or PowerBI (or similar dashboarding software).

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 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

Data interpretation

Stakeholder communication

Education

Associate's degree

Bachelor's degree or higher

Tools

Tableau

PowerBI

SQL

Microsoft Excel

PowerPoint

Job description

CVS Health seeks a Senior Quality Management Specialist to leverage data and technology to improve healthcare outcomes. You will design, implement, and maintain health information systems, analyze quality data, and apply statistics to create analyses that inform performance improvements in quality measures.

You will support HCPCS/HEDIS related reporting, develop dashboards (Power BI/Tableau), and collaborate with clinical, operations, and quality leaders to drive data-driven decision making and