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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.

Position Summary

As a Manager, Business Analytics you will be part of the Medicare Complaints Department, responsible for managing business and system initiatives that focus on streamlining complaint processes and maintaining data integrity.

The Manager of Operational Analytics and Reporting is responsible for overseeing critical functions that enhance organizational performance and compliance. This role involves providing subject matter expertise (SME) support for MHK processes, ensuring accurate and timely HPMS annual reporting, and conducting thorough root cause analyses to identify and address operational issues. The manager will also be tasked with publishing operational reports that deliver actionable insights to stakeholders, as well as managing CTM (Case Tracking Management) and grievance reporting, including trending and analysis that integrates root cause analysis data.

The ideal candidate will possess strong analytical skills, a deep understanding of healthcare operations, and the ability to communicate complex data insights effectively to diverse audiences. This role is pivotal in driving continuous improvement and ensuring the organization meets its operational goals. This role is essential for ensuring that our analytics capabilities are robust, reliable, and aligned with the strategic goals of the organization. The Manager of Business Analytics will be a key player in fostering a culture of data-driven decision-making and continuous improvement.

What you will do

+ Provide expert guidance on MHK processes, ensuring effective implementation and training for stakeholders.

+ Oversee the preparation and submission of annual Health Plan Management System (HPMS) reports, ensuring accuracy and compliance with regulations.

+ Manage and analyze CTM and grievance data, integrating insights from root cause analyses to drive improvements.

+ Conduct analyses to identify operational issues, document findings, and recommend corrective actions.

+ Generate and distribute insightful operational reports tailored to stakeholder needs, enhancing decision-making.

+ Compile clear and comprehensive documentation, such as business requirement documents and use cases.

+ Collects and analyzes business data to identify trends, patterns, and insights.

+ Collaborate with internal and external audit teams to provide necessary data and insights, ensuring compliance with regulatory standards and internal policies.

+ Manage user access to systems and tools, ensuring that team members have the necessary permissions to perform their roles effectively.

+ Evaluates evolving business requirements and recommends appropriate systems alternatives and/or enhancements to current systems.

+ Conducts quantitative and qualitative analyses to assess business performance and identify opportunities for improvement.

+ Design, develop, and maintain Quickbase applications to streamline data collection and reporting processes, ensuring that applications meet the evolving needs of the business.

+ Develops basic process maps, flowcharts, and diagrams to document as-is and to-be processes.

+ Conducts meetings, workshops, and presentations to gather feedback and validate requirements.

+ Actively contributes to team meetings, brainstorming sessions, and collaborative projects, including sharing ideas, providing feedback, and contributing to the overall goals and objectives of the team.

+ Contributes to the development and maintenance of standardized templates, guidelines, and methodologies.

+ Seek opportunities to enhance their skills and knowledge through training and certifications.

Required Qualifications

+ 4+ year proven experience in business analytics, data management, or a related field.

+ Knowledge of statistical analysis techniques and tools.

+ Proficient using QuickBase; building, editing, and repairing existing databases.

+ Proficiency in analytics tools and software, including reporting platforms.

+ Excellent problem-solving skills and critical thinking ability.

+ Strong collaboration and communication skills (written/oral).

+ Ability to work independently and collaboratively in a fast-paced environment across multiple teams.

+ Excellent knowledge using Excel, Access, Visio, Word and/or PowerPoint.

+ Willingness to understand business needs and to create strategies around them.

+ Strong analytical skills with the ability to interpret complex data sets.

+ Ability to prioritize work and perform independently.

+ Proven track record leading or managing large projects.

+ 2+ years of experience with Medicare Advantage products.

Preferred Qualifications

+ 6+ year of experience as a Data Analyst or in a similar role.

+ Experience building, maintaining, and editing Tableau and Microsoft BI dashboards/reporting.

+ 5+ years of experience with Medicare Advantage products.

+ Advanced degree in Business, Finance, Accounting, or Healthcare.

+ 5+ years of experience with product management.

Education

Bachelor's Degree or equivalent experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00

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.

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

We anticipate the application window for this opening will close on: 05/22/2025

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

We are an equal opportunity and affirmative action employer. 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.