Clinical Client Operations - Senior Analyst

Job DescriptionThis position can be located any office location across US and/or Work From HomeAre you passionate about data and helping CVS to deliver superior service to our clients? Consider the position of Client Services Analytics Senior Consultant, where your work directly informs the decision making regarding the accuracy of health plan benefit designs and related programs. As a key member of the analytics team, you will:Act as a strategic partner and analytic product owner to Client Services Health Plans and its business partners to translate business questions and drive analytic projects leading to meaningful intelligenceUnderstand the key drivers of business value and incorporate that knowledge into design of analytic solutions. Identify defect trends related to benefit configurations to reduce Service Warranties, performance guarantee and improve qualityDevelop analytic solutions and recommendations to help drive compliance with client intent and optimize benefit designs.Develop audit strategies to detect production corrections quickly to minimize client / member disruption and improve qualityKey job functions include, but are not limited to, the following:Translating business problems into analytic questions and designing solutions to execute benefits and clinical implementations/business maintenance, and to improve quality and productivity.Collaborating with internal and external partners to elicit business needs and formulate and refine analytic and governance solutions to meet the business needs and to drive efficiency and effectiveness improvements and business value.Leading and managing projects related to a wide variety of business needs, IT compliance/regulatory initiativesMentoring and coaching other team members to improve their skills/knowledge base and to be aligned with the strategic and operational objectives of the Client Services Organization.Presenting analytic findings in a variety of formats and tailoring the communication style to the right audience, from the analytic professional to the senior business leaders.Required Qualifications-3 years of proven analytic experience using electronic drug benefit plan design and claims data-Advanced programming skills such as: SAS, SQL, Tableau, MS Access, Python, R, Power BI,COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues 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, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsPreferred Qualifications : HealthCare or PBM experience Sales Force or RxClaims experience Masters DegreeEducationBachelors Degree requiredBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15