Lead Director of Business Consulting 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.

A Brief Overview

Provide strategic leadership and oversight for data-driven decision-making and program effectiveness. Develops and implements comprehensive data collection and analysis strategies, leading the measurement and evaluation of programs, overseeing the creation of impactful reports and visualizations, providing strategic recommendations based on data insights.

Provide Behavioral Health medical cost and utilization analysis support to Aetna Mental Wellbeing leadership and other key stakeholders: clinical, network, medical management, and product.  Serve as SME for any noted trends and design ad hoc reports to provide useful and actionable insights.  Meet with key stakeholders to review results and determine corrective action can be taken or a scoreable action item can be implemented.

Foster collaboration with stakeholders, ensuring data governance and compliance, and driving continuous learning and skill development within the team. Manage and optimize analytics processes, leveraging data for strategic planning to drive business outcomes.
 

**Position is remote, preference is for candidates to sit in the East or Central time zones.

What you will do

• Creates and executes the company's analytics strategy that focuses on enhancing customer experiences and capitalizing on business growth opportunities.

• Creates and maintains analytical models and tools that provide insights into health plan results, ultimately driving the success of future business ventures. Analyze and interpret healthcare data, such as patient outcomes, financial performance, and operational efficiency.

• Collaborates with cross-functional teams to identify process improvement opportunities and develop data-driven solutions that align with the organization's goals and objectives.

• Provides thought leadership and guidance on emerging analytic trends, innovative technologies, and data collection methods, subsequently contributing to selection and integration efforts.

• Ensures data quality and accuracy by developing and implementing data governance policies and procedures that align with the core organizational values and drive constant operational compliance with regulatory requirements.

• Manages and optimizes the company's data infrastructure to support analytics initiatives that promote organizational key values.

• Facilitates the design and implementation of intuitive visualizations and interactive dashboards that enable stakeholders to explore and understand complex healthcare data easily.

• Provide program performance support including developing cost/staffing models for Behavioral Health Programs – Utilization Management (Intake & Concurrent Review), Case Management, Specialty Units (Applied Behavior Analysis (ABA)/Transcranial Magnetic Stimulation (TMS), and other program functions. 

For this role you will need Minimum Requirements

• 10+ years’ analysis working with complex data and ability to translate data into meaningful actions.

• Healthcare industry experience interpreting/analyzing all aspects of a health plan (financial results, medical management results, population health, effectiveness of wellness strategies, etc.)

• Technical Skills: Strong technical skills in all Microsoft Office Applications with advanced proficiency in Advanced Tableau, Power BI, Access and Excel. Experience with reporting/analytic applications with knowledge of SQL / SAS and Python programming preferred. Knowledge of Coginiti cloud-based SQL query engine

Preferred Qualifications

• Certified Analytics Professional (CAP) preferred.

• Google Cloud Platform

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification.    

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.