Healthcare Analytics Business Consultant @ CVS Health
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About CVS Health
At CVS Health, we’re building a world of health around every consumer, backed by dedicated colleagues passionate about transforming health care. As the nation’s leading health solutions company, we reach millions through local presence, digital channels, and 300,000+ purpose-driven colleagues.
Position Summary
The Healthcare Analytics Business Consultant is an individual contributor role open anywhere in the United States but requires working East Coast hours. The role focuses on transforming complex healthcare data into actionable insights to support fraud, waste, and abuse (FWA) detection and Medicaid regulatory and compliance reporting.
Job Responsibilities
- Write robust SQL and Python code to extract and analyze large datasets.
- Design and maintain data analyses supporting Medicaid claims investigations.
- Prepare accurate Medicaid regulatory and compliance reports.
- Create clear data visualizations for diverse audiences.
- Collaborate with investigators and business partners on data requirements.
- Identify data quality issues and recommend improvements.
- Stay current with Medicaid policies and FWA detection techniques.
Required Qualifications
- Minimum 3 years’ data interpretation and analysis experience.
- Experience with SQL and Python coding in a healthcare context.
- 2+ years interpreting medical claim data.
- Project leadership experience and strong business systems knowledge.
- Excellent problem-solving and communication skills; advanced Excel skills.
Preferred Qualifications
- Experience in healthcare fraud, waste, and abuse analysis.
- Knowledge of Medicaid claims adjudication and regulatory reporting.
- Experience with data visualization tools (e.g., Tableau, Power BI).
- Familiarity with Big Query and Jupyter Notebook.
Education & Work Hours
Bachelor’s degree is preferred or equivalent work experience. This is a full-time role (40 hours per week).
Compensation & Benefits
The typical base salary ranges from $54,300 to $145,860, with eligibility for bonus, commissions, or short-term incentives. Benefits include affordable medical plans, 401(k) with matching, employee stock purchase plan, wellness programs, paid time off, and more.
Key skills/competency
- SQL
- Python
- Data Analysis
- Medicaid
- Compliance
- FWA
- Data Visualization
- Excel
- Healthcare
- Reporting
How to Get Hired at CVS Health
🎯 Tips for Getting Hired
- Customize your resume: Highlight SQL, Python, and analytics experience.
- Emphasize compliance skills: Focus on Medicaid and healthcare reporting.
- Research CVS Health: Understand their culture and mission.
- Practice technical interviews: Prepare with coding and data exercises.