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Job Details


CVS Health

Manager, Informatics

Pharmaceuticals

All

Full Time

On Site

No

Hartford, Connecticut, United States

Job Description
Aetna Resources LLC, a CVS Health company, is hiring for the following role in Hartford, CT: Manager, Informatics to produce business intelligence by querying healthcare data repositories and generating periodic reports. Duties include: build business intelligence reports and predictive models for CVS/Aetna stakeholders and account teams; automate BI reports using VBA/Python to create a robust analytics process; utilize Structured Query Language (SQL), high-level programming languages such as Python, R, the Statistical Analysis Software (SAS) platform, and enterprise-warehouse technologies to develop and maintain analytics process; continuously improve predictive models and implement/test new strategies every year to increase the efficiency of the Risk Adjustment process; execute Univariate and Multivariate Statistical analyses and interpret the results in-order to validate the business hypothesis; analyze healthcare data from various sources like Claims, RX, Lab or Provider to improve and monitor the Medicare Risk Adjustment process; and assist with Centers for Medicare & Medicaid Services (CMS) related RADV compliance audits and Office of Inspector General (OIG) related Medicare audits.


Required Qualifications
Master’s degree (or foreign equivalent) in Data Science, Business Analytics & Project Management, Computer Science, Statistics, or a related field and one (1) year of experience in each of the following: SAS; MS Excel, including writing advanced excel formulas and using conditional, vlookups/hlookups, sorting and filtering, array formulas, and VBA macros, pivot reporting, and conditional formatting; predictive modeling and machine learning; statistical and data analysis; SQL; and healthcare analytics.

Preferred Qualifications
See Required Qualifications.

Education
See Required Qualifications.

Business Overview
Bring your heart to CVS Health Every 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. 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.