Manager, Payer Insights and Analytics

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 SummaryThe Payer Insights Manager will be engaged in designing, summarizing, and communicating insights from analyses aimed at improving business function and better serving patients. They will closely collaborate with various teams within the operations organization providing key metrics to guide various projects impacted by claims adjudication. The ideal candidate will be an adept communicator, able to translate nuanced claims data into consumable results and impactful visuals. This person will have significant experience calling and manipulating data using SQL and organizing effective visuals in PowerPoint and in business intelligence platforms such as Power BI.

The Network Operations Manager will report to the Sr Manager of Payer Insights and collaborate with their peers on the analytics team.Required Qualifications

• Conducting complex adjudication analyses to support identified business needs
• Accessing large claims and operations datasets with SQL and designing summary analytic layers for team and dashboard consumption
• Synthesizes insights into focused presentations - tailors data communications toward varied audiences, both technical and non-technical
• Gathers recurring analyses and designs user-friendly dashboards for business partners
• Collaborates with key internal and external stakeholders to evaluate future analytic needs and requirements

• Python or other scripting experience a plus
• independent, curious, eager to tackle a wide variety of problems, and able to quickly develop knowledge and understanding of new domains and underlying data sources.
• Familiarity with pharmacy workflow and claims adjudication.
• Experience as a project lead with cross-functional teams to develop innovative analytic approaches leveraging all available internal and external data sources.
• Excellent written and oral communication skills.
• Experience developing, testing, documenting and maintaining standardized outcome metrics meeting diverse business needs.
• Experience developing, implementing, testing, and maintaining methodologies for standardized and repeatable reporting for internal and external audiences.
• Ability to interact with and influence decision-making by non-analytical business audiences.
• Working knowledge of statistical methods and the ability to apply them in appropriate use cases (e.g. predictive analytics)
• Ability to travel up to 5% of the time, as needed, per business needs.

• Bachelor's degree or equivalent relevant work experience is required.

• 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.