Lead Analyst , Medical Cost Analytics / Utilization Management - Remote

$106,605 - $284,280/Yr

CVS Health - Oklahoma City, OK

Full-time - Mid Level

Remote - Oklahoma City, OK

Health and Personal Care Retailers

About the position

The Lead Analyst, Medical Cost Analytics / Utilization Management role at CVS Health is focused on leveraging analytics to drive strategic decisions aimed at reducing medical costs. This position requires a blend of consulting experience and analytical expertise to act as a product owner for various analytics initiatives, evaluating trends and providing actionable insights to enhance healthcare delivery. The role emphasizes collaboration with business partners, mentoring junior team members, and presenting findings to senior staff, all while maintaining a strong focus on business value and cost-saving opportunities.

Responsibilities

• Consulting on the creation of analytics solutions that effectively weigh business and technical tradeoffs using an advanced understanding of business strategy.
• Acting as an analytics product owner translating business needs into analytics projects and actions.
• Collaborating with business partners to understand their problems and goals, performing statistical analysis, developing data reports and performance metrics.
• Consulting with internal clients to identify opportunities to implement data science solutions to business problems at an advanced level.
• Structuring data analysis, driving analytics insights and analytical solutions to help data scientists determine the best analytical solution.
• Understanding key drivers of business value and being able to translate into business opportunities and frame them as analytical problems.
• Ability to translate business problems into analytical solutions by knowing appropriate models to suggest to data scientists.
• Understanding and recommending modeling techniques to data scientists.
• Presenting recommendations to senior staff and internal clients.
• Mentoring more junior team members.
• Sharing insights across teams.
• Autonomously leading the business partner relationship.
• Leading development of solutions with high complexity and risk.

Requirements

• 7+ years' leading analytics initiatives with a track record of business impact
• 5+ years' experience using SQL to extract, manipulate and analyze large datasets
• 4+ years experience working in Healthcare industry, with Healthcare data
• 4+ years' experience in strategic consulting or on strategy teams in a large company, providing actionable insights and recommendations to senior leaders and stakeholders to support strategic decision making
• 3+ years' experience identifying trends and opportunities for cost savings initiatives and evaluating the effectiveness of programs
• Excellent communication and presentation skills, with the ability to explain complex data and findings to a variety of stakeholders
• Strong organizational skills, with the ability to manage multiple projects simultaneously
• Collaborative with a growth mindset and excellent interpersonal skills
• Knowledge of healthcare industry trends and regulatory changes
• High proficiency with Microsoft Office Suite including MS Excel and PowerPoint.

Nice-to-haves

• Proficiency in most areas of mathematical analysis methods, machine learning, statistical analyses, and predictive modeling and in-depth specialization in some areas.

Benefits

• Full range of medical, dental, and vision benefits
• 401(k) retirement savings plan
• Employee Stock Purchase Plan
• Fully-paid term life insurance plan
• Short-term and long-term disability benefits
• Well-being programs
• Education assistance
• Free development courses
• CVS store discount
• Discount programs with participating partners
• Paid Time Off (PTO) or vacation pay
• Paid holidays throughout the calendar year