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Analytics, Utilization Management Outcomes Advisor

at CVS Health

Posted: 3/9/2019
Job Reference #: 948184BR
Keywords: management

Job Description

Job Title :
Analytics, Utilization Management Outcomes Advisor
Job ID :
Location :
IL - Northbrook
Street Address :
2211 Sanders Road
Category :
Description :
Job Description
As a member of the Analytic Development organization, you will be responsible for the design, development and delivery of analytic solutions, focusing on opportunity analyses, outcomes, and patient segmentation for utilization management programs for common and rare chronic conditions. You will collaborate with business partners from product, operations, medical affairs, finance, and marketing to demonstrate the value of CVS Health products and services and enable data-driven, strategic decision-making and identify opportunities for existing product improvement and new product development.

The essential roles and responsibilities of the role are:
-Collaborating with key internal and external stakeholders to gather and analyze needs and requirements to design and implement robust analytic solutions to support the identified needs;
-Developing rigorous methodology to measure the financial and clinical impacts and outcomes of programs and interventions;
-Working with pharmacy and medical claims data and data related to the administration and operation of the utilization management programs;
-Accessing, manipulating, analyzing and visualizing data from large databases using a variety of tools and techniques, such SQL, Python, R, SAS, and Tableau;
-Conducting analyses of the data, ranging from descriptive data exploration to advanced statistical modeling;
-Building dynamic dashboards using Tableau and drawing actionable insights from the data;
-Assessing existing available data, identifying data gaps, and collaborating with Data Strategy and business partners to develop approaches to closing the data gaps;
-Constructing and delivering written reports of the analytic findings in a variety of formats (reports, PPT, including visualization of data and findings), formulating recommendations, and effectively presenting the results to potential non-analytic audiences;
-Communicating complex technical subjects to technical and non-technical audiences.


Required Qualifications
To be considered for this exciting analytical opportunity, candidates will need to have a minimum of 5 years of professional experience in an analytics role. Postgraduate education may count toward required years of experience.

You will also need to have demonstrated experience in the following:

-Problem solving skills and experience constructing analytic solutions to business problems;
-Developing innovative analytic approaches leveraging available internal and external data sources;
-Experience interacting with and influencing decision-making by business audiences;
-Solid understanding and hands on experience with a variety of analytic processes and techniques, including health economics outcomes research, development of measurement methodologies, hypothesis testing, statistical significance testing, modeling, and machine learning;
-Experience developing methodology to measure program and intervention outcomes;
-Solid understanding and hands on experience working with large data sources, particularly pharmacy or medical claims and clinical program data, focusing on efficient data extraction from large databases, data manipulation, and setting up optimized summary data layers;
-Extensive hands-on experience with SAS, SQL, Python, R, Tableau and other data, statistical, and data visualization tools and techniques, and ability to investigate and adapt emerging analytic tools and solutions into the analytic standard operating procedures;
-Experience developing dashboards using visualization tools such as Tableau;
-Understanding of the healthcare administration landscape and CVS Health business model, including patient and payer concerns, as well as the operational considerations in support of the business objectives.


Preferred Qualifications
-Experience working with multiple business areas, such as operations, finance, sales, product, and marketing;
-Experience conducting data analysis in healthcare settings;
-Working knowledge of healthcare industry products/services and operations, including pharmacy benefits utilization management programs, such as prior authorization and step therapy, with understanding of the underlying clinical considerations.

Bachelor’s degree in qualitative field, such as statistics, biostatistics, analytics, epidemiology, public health, or economics. A graduate degree strongly preferred.

Business Overview
It’s a new day in health care.

Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll be at the center of it all.

We offer a diverse work experience that empowers colleagues for career success. In addition to skill and experience, we also seek to attract and retain colleagues whose beliefs and behaviors are in alignment with our core values of collaboration, innovation, caring, integrity and accountability.

CVS Health is an equal opportunity/affirmative action employer. Gender/Ethnicity/Disability/Protected Veteran - we highly value and are committed to all forms of diversity in the workplace. 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. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. We provide reasonable accommodations to qualified individuals with disabilities. If you require assistance to apply for this job, please contact our Advice and Counsel Reasonable Accommodations team. Please note that we only accept applications for employment via this site.

If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!