Senior Analyst, Health Care Quality Management

CVS Health Corporation; Oklahoma; Hybrid; USD 60,000 - 90,000; Full time

Job summary

CVS Health Corporation in the United States is seeking a healthcare analytics professional to manage analytics initiatives across data sources, including claims and enrollment, delivering actionable insights.

You will develop Python-based workflows, write SQL queries, and build Power BI dashboards to communicate quality and performance metrics to diverse audiences.

The role emphasizes collaboration with clinical, provider, and IT teams while ensuring data integrity and privacy.

Qualifications

• 1-2 years of experience in healthcare analytics or related field.
• Familiarity with HEDIS, Medicaid Stars, or population health reporting.
• Experience building Power BI reports or dashboards.
• Strong Excel skills and ability to perform root cause analysis.
• Effective written and verbal communication and data confidentiality.

Responsibilities

• Manage healthcare analytics projects from requirements gathering to presentation.
• Develop Python-based automation and analytical workflows to improve reporting.
• Write and optimize SQL queries for data extraction and reporting.
• Build and maintain Power BI dashboards and scorecards.
• Collaborate with clinical, operations, and IT teams to translate business needs into solutions.
• Communicate findings clearly to technical and non-technical audiences.

Skills

Power BI

Python

SQL

Excel

Data analysis

Education

Associates degree or relevant certification in health informatics/data analytics

Tools

GitHub Copilot

SQL Server

Job description

Position Summary

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Key Responsibilities

• Manage assigned healthcare analytics projects from requirements gathering through analysis, validation, interpretation, and presentation, with guidance on complex assignments.
• Develop, test, document, and support Python-based automation and analytical workflows that improve reporting efficiency and consistency.
• Write and troubleshoot SQL queries for healthcare data extraction, analysis, validation, reporting, and issue investigation.
• Build, maintain, and enhance Power BI dashboards, scorecards, and reports that communicate quality performance, testing results, defects, trends, interventions, and key performance indicators.
• Integrate, validate, and analyze data from multiple sources, including medical and pharmacy claims, member enrollment, provider, clinical, laboratory, HEDIS, Stars, EPSDT, and population health datasets.
• Conduct quantitative and root cause analyses to identify performance drivers, data issues, care gaps, process breakdowns, and opportunities for quality improvement.
• Evaluate population health interventions, member outreach, provider engagement, Quality Performance Improvement Projects, EPSDT initiatives, and other Quality Management programs.
• Ensure the accuracy, completeness, quality, and integrity of analytical outputs through structured validation, reconciliation, documentation, and review.
• Use AI-assisted development tools, including GitHub Copilot or comparable solutions, to accelerate development, improve code quality and documentation, and increase productivity while following applicable privacy, security, and governance requirements.
• Collaborate with Quality Management, clinical, provider, operations, informatics, engineering, and reporting teams to gather requirements and translate business needs into practical analytical solutions.
• Communicate findings, risks, limitations, and recommendations through clear written deliverables, data visualizations, and presentations for technical and nontechnical audiences.
• Complete recurring and ad hoc reporting deliverables accurately and on time; support data-quality investigations, audits, and special projects as assigned.
• Contribute to continuous improvement of team methods, documentation, analytical practices, and quality controls.

Required Qualifications

• 1-2 years of experience in healthcare analytics, quality measurement, data analysis, business intelligence, reporting, or a related field; relevant internship or project experience may be considered.
• Knowledge of HEDIS, Medicaid Stars, quality measurement, care-gap identification, or healthcare performance reporting.
• Experience building or supporting Power BI reports or dashboards and strong Microsoft Excel skills.
• Ability to perform root cause analysis, manage priorities, and deliver accurate results with increasing independence.
• Effective written and verbal communication skills, attention to detail, and ability to safeguard confidential healthcare data.

Preferred Qualifications

• Experience using AI-assisted development tools, such as GitHub Copilot, for coding, analysis, automation, or documentation.
• Experience or knowledge in population health analytics, Quality Performance Improvement Projects, EPSDT, Medicaid, managed care, HEDIS, or Stars.
• Knowledge of relational databases, data modeling, version control, data-quality controls, or automated validation.
• Working proficiency in SQL and some experience using Python for data analysis, automation, or scripting.

Education

Associates degree, vocational training, or Certification in health informatics, data science, analytics, statistics, computer science, public health, healthcare administration, business, or a related field; or an equivalent combination of education and relevant experience.

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