Senior Manager, Data Consultant (Medicaid)

technical support and analysis for directory work focusing on removing unnecessary variation between health plans and reducing fine & penalties associated with directory data and process gaps. This role will support the data and directory code analysis needed to drive business decisions across all health plans, IT, and data consumer processes, and will provide the foundational data comparatives to define a single standard for all markets.The role is highly matrixed working with a variety of business and functional owners managing a diverse portfolio of provider directory initiatives that contribute to the overall success of print and online provider directories. They will have the responsibility for overseeing the end-to-end process including improvement activities to support provider directories. It requires the capability to effectively manage competing multi-faceted projects and the ability to prioritize technical work for the IT teams. Additionally, the individual should have strong organizational skills, attention to detail, and the ability to communicate and work effectively with cross functional teams. This is a fast paced rapidly changing environment that requires flexibility and agility in thought and approach to daily tasks.Required Qualifications

• A minimum of 3 years of experience using SQL to extract, manipulate and analyze large datasets from multiple data sources.

• Ability to collaborate with multiple business partners to understand their goals, translate business needs into technical requirements, and act as a consultant in developing solutions.

• Experience with requirements gathering, analysis, technical design, testing and implementation

• Emphasizes clear documentation and writes code that is readable and reproducible

• Strong communication skills and ability to present findings to both technical and non-technical audiences

• Experience with healthcare datasets including claims, providers, members, authorizations.

• Advanced Excel skills including pivot tables and v-lookups to manipulate and pull the correct data.

Preferred Qualifications

• Exposure to Lean Six Sigma or Agile methodology.

• Experience with Medicaid and Duals process and data.

• Experience with QNXT.

Education

• Bachelor's degree preferred or a combination of professional work experience and education.

Pay Range

The typical pay range for this role is:$67,900.00 - $199,144.00

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. 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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 08/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.