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Position Summary

The Senior Manager, Reporting & Insights – Network Medicaid Ops will apply expertise in data analysis, analytical tools, and stakeholder management skills to ensure efficient data management, promote data-driven insights, and decision making to enhance operations across all Medicaid health plans.

This leader will leverage technology and data to improve health outcomes and operational improvements by designing, implementing, and maintaining reporting and analytical tools which yield actionable insights.

Additionally, this role will serve as a key though-partner to stakeholders, proposing analytical solutions to complex challenges.

The Senior Manager will serve as a technical SME leader within the broader R&I team on key platforms (e.g., QNXT) and on nuances of Medicaid business operations.   

Key Responsibilities:

Analytical skills

• Develop and maintain a comprehensive understanding of underlying data sets, key business metrics, trends, and drivers across Medicaid operational areas supported.
• Provide leadership and guidance to direct report(s) other R&I colleagues, including coaching and mentoring.
• Stay informed about industry best practices, emerging trends, and new technologies in reporting and analytics, and assess their potential impact on the organization.
• Analyze and interpret complex data to support decision-making processes and inform strategic initiatives within the Medicaid and Network organizations.
• Identify trends, patterns, and correlations to support decision-making processes.
• Lead the design, data collection, analysis, and reporting phases of new projects to generate evidence-based insights.
• Display advanced ability to design and develop reports, dashboards, and visualizations to effectively communicate data-driven insights to stakeholders using tools such as business intelligence software or data visualization platforms to create compelling visual representations of data.
• Ensure data integrity, quality, and consistency by implementing data management strategies and protocols.

Stakeholder management skills

• Executive Presence: successful engagement with senior leaders in distributed organizations on projects that require alignment, prioritization, and synthesis.
• Collaborate with stakeholders across departments, including clinicians, operators, and executives, to understand their information needs and provide thought-partnership on how to analytically solve challenges.
• Lead definition of project scope, objectives, deliverables, and establish clear metrics for measuring project success.
• Lead development of project plans, timelines, and ensure adherence to project milestones and deadlines.

Required Qualifications

• 7+ years experience designing, implementing, and maintaining reporting and analytical tools which yield actionable insights.
• 3+ years of people leadership/management experience.
• 3+ years experience working in the healthcare industry.
• Proven track record supporting complex projects and/or programs that resulted in material business successful outcomes.

Preferred Qualifications

• Experience supporting Medicaid business operations.
• Advanced knowledge and proficiency working with business Intelligence tools like Tableau, PowerBI and Alteryx.  Knowledge of QNXT preferred.

Education

• Bachelor's degree in quantitative field, or an equivalent combination of formal education and experience.
• Preferred: Master's degree in quantitative field or MBA.
• Preferred: specialized training/relevant professional qualification.

Pay Range

The typical pay range for this role is:

$82,940.00 - $182,549.40

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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 12/31/2024

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