At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Conducts regular analysis of HEDIS metrics for aggregate and measure level performance change. Manages all market HEDIS analytics, data investigations, and performance management data needs. Develops reports and dashboards using Sequel and PowerBI to support accurate and timely reporting to meet stakeholder needs. Provides consultation based on analysis and identification of key drivers of results i.e., use data to identify clinical trends, analyze high-cost claimants, population health and other clinical trends, evaluate performance results, monitor engagement, and collaborate on opportunities for improvement.

Additional responsibilities to include but not limited to the following:

- Utilizes statistical analysis, data visualization tools, and database queries to identify trends, patterns, and opportunities for quality improvement.
- Develops and maintains performance metrics and dashboards to track and report on patient safety, clinical effectiveness, patient experience, and compliance with quality standards.
- Contributes to quality improvement projects and initiatives by providing data-driven insights and recommendations.
- Collaborates with cross-functional teams to design and implement evidence-based practices, care protocols, and process improvements.
- Assists in conducting audits and performing chart reviews to monitor compliance with regulatory requirements and quality standards.
- Prepares reports and presentations on quality metrics, performance trends, and improvement initiatives.
- Creates reports that encourage transparency by communicating findings to stakeholders, including leadership, providers, and other relevant teams in a comprehensive manner.
- Collaborates with various stakeholders to integrate new quality improvement efforts and facilitate the resolution of care coordination issues.
- Assists in developing and delivering training programs on quality management principles, best practices, and data visualization tools.

Required Qualifications

- 3 years HEDIS experience

- Fluent with excel, database environments including Access and Sequel

Preferred Qualifications
- 1 year experience using PowerBI for report and dashboard development
- 1 year experience in managed care industry, Medicaid preferred

Education

Advanced education in computer science

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

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 people

We 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: 08/15/2025

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