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Analytics: Data Quality - Senior Manager

at CVS Health

Posted: 2/5/2019
Job Reference #: 823844BR

Job Description

Job Title :
Analytics: Data Quality - Senior Manager
Job ID :
Location :
RI - Lincoln
Street Address :
695 George Washington Hwy
Category :
Description :
Job Description
Provides oversight for the team and processes that support the quality, integrity, and transparency of data flowing through the Accordant data warehouse (includes EPIC). Ensures timely and thorough data review of incoming monthly client files, implementation extracts, ad hoc datasets, and EPIC data. Responsible for maintenance and evolution of methodologies and models used for automated and manual QA. Leads and Manages projects and initiatives to establish a standard data model, and best practices for data flow and interpretation. Facilitates tracking, communication, escalation, and triaging of claims and eligibility data issues that arise. Responsibilities include leading of high-profile and large-scale initiatives through oversight of project resources and collaboration with upstream and downstream partners to scale and complete QA, in order to serve downstream business needs (reporting, recon/outcomes, and book of business) in support of existing and prospective CVS Health and Accordant clients.
1. Oversees timely and effective sign off on monthly incremental claims and eligibility files for all Accordant clients, though automated process design and staff oversight. Supports efficient and comprehensive QA/sign off on implementation extracts and ad hoc datasets. Responsible for EPIC data support, and IT ticket submission and prioritization. 35%
2. Leads projects to assure Accordant data standardization (enforce standard data model), data consistency across clients, and issue/nuance transparency. Advocates for data quality and integrity, while enhancing process efficiencies. Maintains library of data layouts for client data requests, and recommends/advocates for best approach to receive ongoing data. 30%
3. Effectively communicates process, prioritization, and analytic findings to downstream customers and other relevant audiences. Creative problem solving, to minimize risk of data issues while supporting client timeline needs. Supports IT ticket submission and prioritization. 20%
4. Developing relationships with leadership and the reporting team member. Mentoring and helping in career development of team members to effectively collaborate across the Accordant team. 10%
5. Supports broader company efforts around warehouse data integrity, quality assurance, standardization, and integration - including EPIC-related initiatives.


Required Qualifications
o 5 to 8 years of professional experience
o Strong experience leading analytical data projects across functional teams, including coaching and feedback of other team members on analytic approaches;
o Experience with data manipulation with SAS and retrieving data from large databases with SQL, or similar data access, manipulations and statistical analysis tools;
o Experience analyzing and manipulating medical claims, pharmacy claims, and eligibility data
o Experience developing, implementing, testing and maintaining automated and manual QA processes
o Experience loading and transforming (ETL) varied external claims and eligibility extracts, to standard data model
o Experience in maintaining and enhancing templates, models, algorithms, methodologies, and assumptions
o Excellent problem solving skills and ability to construct analytic solutions to business problems;
o Excellent written and oral communication skills, ability to interact with and influence decision-making by non-analytical business audiences;
o Strengths in data issue root cause analysis, with accountability over resolution development and execution

Preferred Qualifications
* Background in supporting transfers of large data files from external sources, adhering to legal guidelines for handing sensitive healthcare data

Verifiable High School diploma or GED is required.

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units - MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, 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

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking Advice and Counsel

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

Application Instructions

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