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Sr. Analyst, Process Excellence - Work From Home
CVS Health
City of Albany (NY)
Remote
USD 46,000 - 113,000
Full time
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Job summary
An established industry player is seeking a Sr. Analyst in Process Excellence, focusing on optimizing data-driven insights for operational efficiency. This role involves creating interactive dashboards, conducting root cause analysis, and collaborating with leadership to enhance decision-making through actionable business intelligence. The ideal candidate will possess strong analytical skills and experience in healthcare data, ensuring compliance and quality reporting. Join a dynamic team dedicated to transforming healthcare and making a meaningful impact on millions of lives.
Benefits
Qualifications
- 3-5+ years of experience in reporting and data analysis.
- Strong knowledge of compliance and quality reporting requirements.
- Experience in payer healthcare or clinical operations preferred.
Responsibilities
- Develop and optimize data-driven insights for operational excellence.
- Design dashboards and reports for real-time visibility.
- Conduct trend analysis and support RCA investigations.
Skills
Education
Tools
Job description
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The Sr. Analyst, Process Excellence will be responsible for developing, managing, and optimizing data-driven insights to support the Operational Excellence Program. This role will work closely with the Process Excellence Managers (Green, Black, and Yellow Belts), Program Manager, and leadership teams to track root cause analysis (RCA) outcomes, operational efficiency improvements, and compliance trends. The analyst will design executive dashboards, operational scorecards, and reports to ensure real-time visibility into issue resolution, process performance, and governance outcomes. Additionally, they will support data storytelling and visualization efforts, ensuring RCA findings translate into actionable business intelligence.
Dashboard Development & Data Visualization
- Design and maintain interactive dashboards tracking RCA submissions, resolutions, and process improvement metrics.
- Develop executive-level reports summarizing RCA trends, compliance risks, and operational inefficiencies.
- Create data visualizations in Power BI, Tableau, or Excel to support leadership decision-making.
- Establish performance tracking frameworks for compliance adherence, operational efficiency, and RCA outcomes.
- Monitor and analyze audit results, process improvement initiatives, and workforce performance metrics.
- Work with Quality & Audit and COE teams to ensure alignment on success metrics.
- Provide quantitative support for RCA investigations, identifying patterns and trends in audit failures, operational errors, and clinical decision-making issues.
- Conduct trend analysis on issue submissions, RCA resolutions, and process breakdowns to pinpoint systemic problems.
- Collaborate with Process Excellence Managers to define data-driven solutions for process optimization.
- Assist in preparing materials for bi-weekly VP/SVP issue escalation calls and monthly Quality & Audit Review Board meetings.
- Support the Program Manager in maintaining reporting cadences and governance documentation.
- Provide ad hoc data analysis for executive leadership to support decision-making.
Required Qualifications
- 3-5+ years of experience in reporting, data analysis, or business intelligence.
- Experience working in payer healthcare, Utilization Management (UM), Care Management (CM), or clinical operations preferred.
- Strong knowledge of compliance and quality reporting requirements (CMS, NCQA, URAC, payer performance metrics).
- Proficiency in Power BI, Tableau, SQL, Excel (advanced), or other reporting tools.
- Experience with data visualization, trend analysis, and KPI development.
- Strong analytical background with the ability to interpret complex datasets and translate findings into business insights.
- Excellent communication skills, with the ability to present findings to executives and non-technical stakeholders.
- Strong attention to detail and problem-solving mindset.
- Ability to manage multiple reporting projects in a fast-paced environment.
- Experience working with payer healthcare data, UM/CM performance tracking, or regulatory compliance metrics.
- Knowledge of process improvement methodologies (Lean, Six Sigma, RCA frameworks).
- Prior experience supporting audit teams, compliance monitoring, or operational performance tracking.
- Bachelor’s degree required, preferably in Data Analytics, Business Intelligence, Healthcare Informatics, Operations Management, or a related field.
40
Time Type
Full time
Pay Range
The Typical Pay Range For This Role Is
$46,988.00 - $112,200.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great Benefits For Great People
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
We anticipate the application window for this opening will close on: 05/14/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
- Seniority levelMid-Senior level
- Employment typeFull-time
- Job functionBusiness Development and Sales
- IndustriesHospitals and Health Care
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