Description
We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.
*Sponsorship is not available for this role*Position SummaryThe Aetna Complaints, Grievance & Appeals (CG&A) organization is looking for the right candidate to help the CGA Insights team to support our data-driven analytics, root-cause analysis and process improvement activities. This new position will work with current team members on various activities impacting the CG&A organization to better respond to incoming data and report requests. This will include develop & updating of executive meeting materials, document existing processes and workflows, improving automation and collaborating with our business partners & stakeholders on the various operational and regulatory project deliverables the team is responsible for. This role provides an opportunity for the applicant to evolve into a reporting subject matter expert on the CG&A process across the multiple lines of business within Aetna/CVS Health. Responsibilities for this role will include:
- Perform intake, triage, tracking, and fulfillment of incoming data & project requests.
- Reach out to requestors to further define, document and finalize requirements.
- Help execute standardized decision analysis reporting (YOY/MOM, QOQ) trend views.
- Support team members w activities around development of GCP data repository (i.e. BigQuery)
- Support team members w development of new semantic reporting environment.
- Identify automation opportunities for various technologies & tools (Python, GCP, Alteryx, Dataiku)
- Monitor data quality and collaborate with Sr. Management on data trend changes
- Perform deep dive analysis to help identify potential drivers of higher incoming case volumes.
- Evaluate resolved case data to identify opportunities to improve the decision-making process.
- Deliver actionable insights & recommendations to Executive Leadership to enable better decision-making and strategic planning.
Required Qualifications - Proficient with MS Office documentation, data analysis, & presentation applications.
- 5+ years of experience with relational databases and data transformation.
- 3+ years of experience with data processing/analytics.
- 5+ years of experience writing SQL queries (i.e. BigQuery,
- Coginiti, SQLServer, DB2)
- 3+ years' experience with data visualization and report generation & scheduling tools such as: Tableau OR SAP Business Obects (LaunchPad, WEBI, Business Views/Crystal Reports) OR Microsoft Power BI OR GCP (BigQuery, Looker)
Preferred Qualifications 2+ years' experience with Cloud / Big Data data storage technologies (GCP/AWS).
- 1+ years of experience in the healthcare industry.
- Experience in any of the following functional areas (call, claims, utilization management, grievances, appeals) would be ideal.
- 1+ years of experience with automation technologies (Python, Alteryx, Dataiku).
- 1+ years' experience of data universe building or database admin development.
- Ability to communicate with both technical and non-technical colleagues.
- Comfortable with SharePoint and QuickBase (i.e. project tracking and collaboration tools).
- Experience in process improvement or automating end-to-end processes.
- Familiar with Agile project management release methodology & terminology.
Education Bachelor's degree or equivalent work experience required, advanced degree preferred OR Technical certifications for the technologies listed in the job description.
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$54,300.00 - $145,860.00
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.
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/benefits
We anticipate the application window for this opening will close on: 03/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
