Senior Manager, Medical Policy Analytics & Reporting

CVS Health; North Carolina; Ibrido; USD 54.000 - 146.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits package

Bonus program

Paid time off

Retirement options

Descrizione del lavoro

CVS Health is seeking a Manager of Medical Policy Business Analytics to translate healthcare data into actionable insights and support decision making. This role partners with clinical, policy, and technology teams to monitor KPIs, develop dashboards, and drive data-driven improvements while ensuring compliance and quality.

The position focuses on analytics, reporting, and performance intelligence to inform affordability initiatives and policy governance.

Competenze

• 5+ years of experience in healthcare analytics or related healthcare functions.
• 4+ years leading or coordinating projects, analytical workstreams, reporting initiatives, or cross-functional business activities.
• Advanced analytical, quantitative, and problem-solving skills leveraging AI.
• Experience developing executive dashboards, scorecards, KPIs, and performance reporting.
• Experience performing trend analysis, forecasting, root cause analysis, and performance measurement.
• Ability to coordinate analytical work, manage competing priorities, and influence stakeholders across a matrixed environment.

Mansioni

• Develop and maintain performance reporting for Medical Policy, Payment Integrity, and related operational programs.
• Design dashboards, scorecards, and reporting solutions.
• Monitor policy adherence, implementation effectiveness, and regulatory compliance.
• Conduct root cause analyses to identify defects and inefficiencies.
• Partner with business stakeholders to gather and translate requirements into technical solutions.
• Present insights, risks, trends, and recommendations to leadership.

Conoscenze

Healthcare analytics

Executive dashboards

Stakeholder management

Problem solving

AI leverage

Formazione

Bachelor's Degree or equivalent experience

Strumenti

Power BI

Tableau

SQL

SAS

Snowflake

Azure Analytics

Excel

Descrizione del lavoro

CVS Health is seeking a Manager of Medical Policy Business Analytics to translate healthcare data into actionable insights and support decision making. This role partners with clinical, policy, and technology teams to monitor KPIs, develop dashboards, and drive data-driven improvements while ensuring compliance and quality.

The position focuses on analytics, reporting, and performance intelligence to inform affordability initiatives and policy governance.