Job Description
Under limited supervision, conducts analyses or produces reports of varied healthcare data to assess health and economic outcomes of Aetna products and programs. This position will be responsible to analyze and document business data and processes, recommend technical solutions and create reports or other solutions as needed to support business needs. Daily activities will include collaborating with business / other auditor team members to understand their processing control and business risk, structure data analysis, driving analytical insights, and analytical solutions. Understands and recommends analytics techniques to auditors. Solves problems and takes a new perspective on existing solutions. Development of solutions with high complexity and risk. Presents recommendations to senior staff and Business owners. Performed complex data analysis in support of ad-hoc and standing management or customer requests in the Financial, IT, and E&Y Auditor. Developed programs and files for analyzing and presenting data. Designing and developing scalable data using Alteryx or other Data Analytics tools for data cleansing, integration, and auditing to identify audit exceptions. Structure data analysis, driving analytics insights, and analytical solutions to help auditors determine the best analytical solution. Develops Alteryx workflow and Alteryx App for complex projects.
Focus of the Role:
∙ Perform big data analytics (Alteryx, Python, R, SQL, Database Systems, etc.) on vast healthcare data sets.
∙ Utilize advanced analytics, data science (predictive modeling, deep learning, etc.) and data mining (NLP) to mitigate business risk and identify internal risk factors from IT and financial perspective.
∙ Leverage and identify cutting-edge IT applications (RPA, AI tools, etc.) to achieve operational excellence.
∙ Utilizing business intelligence methods, analyze and visualize data to perform complex data analysis in support of ad-hoc and standing management or customer request.
Required Qualifications
5 or more years of relevant programming and/or analytic experience in a professional and/or academic setting.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
Preferred Qualifications
Master’s Degree Preferred.
Demonstrated written and verbal communication skills. Able to present information to various audiences. Healthcare or pharmaceutical industry experience is preferred.
Knowledge of other reporting platforms such as: Business Objects, Microsoft Access, web development technology, big data analytics, data mining, Visual Basic. Understanding of relational databases, data systems and data warehouses.
Experience in statistical analysis and database management.
Knowledge of analytic programming tools and methods (SAS, Alteryx, Python, R, Automation Anywhere).
Deep knowledge of health care industry, policy, research design, univariate and multivariate statistical analyses, predictive modeling, case-mix and risk adjustment methods and tools.
Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.
Strong knowledge of health care claims, products, and systems.
Solid Understanding of complex databases and UNIX or mainframe environments.
Strong SQL and SAS programming skills (e.g., SAS Base, SAS STAT, SAS Macros) Demonstrated analytical and problem-solving skills.
Education
Bachelor’s degree required; Preferably in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.
Business Overview
At CVS Health, 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 strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. 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
Job ID: 32418
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