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Encounter Technical Analyst

at CVS Health

Posted: 11/20/2020
Job Reference #: 72785BR
Keywords: healthcare, health

Job Description

Job Description
This position will be responsible to analyze and document business data and processes, recommend technical solutions and create reports or other solutions as needed to support business needs. Daily activities will include writing SQL queries, procedures and reports on both an ad hoc and production basis for analysis of data trends or anomalies impacting business success.

Fundamental Components
* Performs analyses of varied healthcare data.
* Designs and codes efficiently using SQL programs.
* Extracts data from multiple sources and creates integrated analytic datasets and creates reports and studies to address business and research questions.
* Conducts periodic updates of analytical routines and department production systems Investigates and evaluates alternative solutions to meeting business needs.
* Participates in presentations and consultations to constituents on information services, capabilities and performance results.
* Documents methods, specifications and findings clearly; contributes to writing and presentation of results, findings and conclusions.
* Creates and evaluates the data needs of assigned projects and assures the integrity of the data.
* Manages personal resources efficiently to complete assigned projects accurately and on time Responsible for commitments to quality and on-time deliverables.
* Motivated and is willing to understand and probe into technical details and data irregularities.
* Contributes to a motivated work environment by working effectively to achieve common goals.

Background Experience
Demonstrated written and verbal communication skills. Able to present information to various audiences.3+ years of relevant programming or analytic experience. Healthcare or pharmaceutical industry experience is preferred..Experience in statistical analysis and database management.Deep knowledge of health care industry, policy, research design. Experience in working in a data warehouse environment as well as the ability to work with large data sets from multiple data sources.Strong knowledge of health care claims, products, and systems.Solid Understanding of complex databases.

Candidate must be SQL power user, able to review results, conduct root cause analysis, identify next steps and put them into action. Candidate should be familiar with HIPAA transaction sets, claims processing and encounters. Should have the ability to move multiple projects forward simultaneously and be responsible for the results; even when others are directly accountable for the outcome. Ability to establish relationships with internal and external constituents a must.

Demonstrated analytical and problem-solving skills. Bachelor's degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.

Bachelor's degree or equivalent experience

Percent of Travel Required
0 - 10%

Business Overview
Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!