Senior Manager - Data Engineering
CVS Pharmacy - Tallahassee, FL
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Job DescriptionLeadership role on Medicaid Quality Data Management team, providing guidance and leadership to advanced analysts and partnering with Aetna Information Technology teams to successfully implement NCQA HEDIS & Medicaid State-specific measure technical specifications in Aetna proprietary Quality/HEDIS measures rules engine.Ability do advanced coding as well as translate to business leadership audiencesRequired Qualifications- 3+ years of experience with healthcare claims analysis.- 3+ years of experience; skilled in reading and writing moderate to complex SQL commands and accurately assessing results.- Experience with analyzing HEDIS metrics or Functional SME for HEDIS reporting.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Experience with HEDIS vendor software a plus or experience with HEDIS reporting using other tools.- Experience gathering requirements from the client/business and documenting.- Experience with process improvement, workflow, benchmarking and / or evaluation of business processes.- Project Management experience a plus.- Coach, provide feedback, and guide others act as a resource for others with less experience.- Technical skill is required as this position is a mix of business and technical skills.- Working knowledge of relational databases, database structures. - Ability to write clearly composed documentation for business requirements documentation as well as information that will be distributed to auditors.- Ability to problem solve including multiple priorities and research conflicting and/or inaccurate data.Education- Bachelor's degree and/or equivalent experienceBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.
Created: 2024-09-07