, Connecticut

Job Description
- This position is located in the National Care Management Quality Department and is responsible for the successful delivery of reporting in support of HEDIS, accreditation and regulatory analyses & reporting.
- The position will have a technical emphasis in the development of HEDIS improvement projects, requiring end-to-end support throughout the project lifecycle to deliver analyses and analytic solutions to meet business needs, interacting directly with internal colleagues and external clients. 
- Primary responsibility will be to pull and analyze complex data for trends, draw conclusions, and provide in-depth root cause analyses.
- Collaborate with Regional and National QM clinical teams to develop reporting tools and production reports, including: create ad hoc data warehouse queries; implement strategies to pull data to meet work group objectives; and works to resolve systems and data integrity issues.
- These activities require advanced technical, analytic and consultative skills, as well as an extensive knowledge of health care data and information systems.
- Performs applied statistical research and custom analysis of integrated healthcare data, interprets results, and makes recommendations based on analytic findings to business areas.
- Makes recommendations about data collection methods, metrics definition and evaluation methods.
- Presents analytic reports to clients and stakeholders.
- Defines and delivers analytical solutions in support of healthcare business initiatives that drive short and long term objectives.
- Collaborates with internal and external partners and organizations in the design and execution of analytic studies to answer business and research questions.
- Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods.
- Develops, validates and executes algorithms, statistical models and reporting tools that answer applied research and business questions for internal and external clients.
- Develops and participates in presentations and consultations to existing and prospective constituents on information services, capabilities and performance results.
- Stays informed about industry trends, research findings and evaluation methods.
- Turns analysis into business/customer solutions.
- Creates business applications to deliver clinical or analytic solutions to constituents
- Manages personal resources efficiently to achieve constituent satisfaction.
- Responsible for project commitments to quality and on-time deliverables.
- Ability to manage conflicting priorities and multiple projects concurrently
- Willingness to understand and probe into technical details.
- Contributes to a motivated work environment by working effectively to achieve common goals.
- Creates and evaluates the data needs of assigned projects and assures the integrity of the data.
- Under general direction, independently executes analyses or reports to meet project needs.

Required Qualifications
- 3+ years of relevant programming or analytic experience.
- 3+ *Intermediate/Advanced SSMS or Base SAS programming abilities in Hadoop and/or big data analytics environment.
- Strong reporting skills using SSMS, SSRS and SSIS.
- Demonstrated extensive and diverse knowledge of health care data, metrics, systems and standards; demonstrated subject matter expert in multiple subject areas.
- Understanding of relational databases, data systems and data warehouses.
- Knowledge of analytic programming tools and methods (SAS, SQL, OLAP, Business Objects, Crystal).
- Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.
- Strong problem solving skills and critical thinking ability.
- Strong collaboration and communication skills within and across teams, fostering positive working relationships.
- Strong reporting skills using Excel, Access, Word and/or PowerPoint.
- Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic.
- Demonstrated project management and/or team lead experience.
- Health care analysis, health economics, epidemiology, or health services research experience.
- Ability to communicate technical ideas and results to non-technical clients in written and verbal form.
- Able to make sound decisions and recommendations to drive business solutions.

Preferred Qualifications
Please review required qualifications above

Education
Bachelor's degree or equivalent experience

Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

, Connecticut

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