Remote Manager, Medical Policy Analytics & Insights

CVS Health Corporation; Northern (KY); Ibrido; USD 54.000 - 146.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical insurance

Dental and vision coverage

Paid time off

Descrizione del lavoro

CVS Health Corporation is seeking a Manager of Medical Policy Business Analytics to translate clinical and claims data into actionable insights, dashboards, and governance metrics. You will partner with Clinical Operations, Medical Policy, and Finance to monitor KPIs, improve affordability, and strengthen compliance readiness.

The role emphasizes data validation, performance measurement, and cross-functional project coordination. Remote work is available nationwide in the United States.

Competenze

• 5+ years in healthcare analytics, BI, or related healthcare functions.
• Experience leading or coordinating projects and cross-functional activities.
• Ability to develop executive dashboards, KPIs, and performance reporting.
• Strong trend analysis, forecasting, and root-cause analysis skills.
• Excellent communication with technical and non-technical audiences.

Mansioni

• Develop and maintain performance reporting for Medical Policy and Payment Integrity programs.
• Design dashboards, scorecards, and analytical reporting solutions.
• Monitor policy adherence, governance & quality metrics across teams.
• Partner with stakeholders to translate needs into BRDs and technical specs.

Conoscenze

Analytics

Executive dashboards

KPIs

Forecasting

Root cause analysis

Stakeholder management

Excel

Power BI

Tableau

SQL

Formazione

Bachelor's degree or equivalent experience

Strumenti

SQL

SAS

Snowflake

Azure Analytics

Power BI

Tableau

Descrizione del lavoro

CVS Health Corporation is seeking a Manager of Medical Policy Business Analytics to translate clinical and claims data into actionable insights, dashboards, and governance metrics. You will partner with Clinical Operations, Medical Policy, and Finance to monitor KPIs, improve affordability, and strengthen compliance readiness.

The role emphasizes data validation, performance measurement, and cross-functional project coordination. Remote work is available nationwide in the United States.