Senior Healthcare Data Analyst

CVS Health

Senior Healthcare Data Analyst leading analytics for Medicare and Risk Adjustments at CVS Health. Analyzing healthcare data to drive accurate risk score capture and compliance with CMS benchmarks.

Posted 5/1/2026full-timeRemote • Arizona, California, Colorado, New York, Washington • 🇺🇸 United StatesSenior💰 $46,988 - $112,200 per yearWebsite

Tech Stack

Tools & technologies

SQLTableau

About the role

Key responsibilities & impact

Lead analytical initiatives supporting Medicare and CMS Risk Adjustment programs
Analyze large healthcare datasets (claims, encounters, enrollment, chart reviews, and clinical data) to: Identify RAF optimization opportunities
Monitor coding accuracy and completeness
Assess financial and operational impact of risk score changes
Develop and maintain SQL‑based data pipelines and analytic models in large data warehouse environments
Produce executive‑level reporting and dashboards addressing: HCC performance
Coding gap closure
Suspect and recapture outcomes
Provider and member impact
Translate CMS regulations, risk adjustment models, and technical findings into clear business insights
Partner with coding, clinical, compliance, and operational leaders to support risk‑adjustment initiatives
Serve as a subject matter expert on Medicare data, metrics, and CMS standards
Lead or support analytic projects end‑to‑end, including scope definition, analysis, and stakeholder delivery

Requirements

What you’ll need

Bachelor’s degree in Statistics, Mathematics, Economics, Computer Science, Actuarial Science, Healthcare, or a related field
3+ years advanced SQL expertise in enterprise data warehouse or big‑data environments
3+ years experience with healthcare analytics, including large, complex datasets
Experience developing reports and visualizations using tools such as Tableau, Power BI, or Microsoft Access
Strong understanding of relational databases and healthcare data structures (claims, encounters, member, provider)
Demonstrated ability to clearly communicate statistical and technical results to non‑technical audiences
Proven analytical problem‑solving and critical‑thinking skills
Experience collaborating across multidisciplinary healthcare teams

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLdata analysisdata pipelinesanalytic modelsreportingdashboardshealthcare analyticsstatistical analysisdata visualizationrelational databases

Soft Skills

analytical problem-solvingcritical thinkingcommunicationcollaborationstakeholder management