Special Investigation Unit Reporting Lead - SAS (Aetna SIU)

Bring your heart to CVS Health. Every 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.Position Summary
The Aetna Special Investigations Unit (SIU) Data Analytics team is looking for a data-driven individual that can analyze big data and create a story through data aggregation and reporting. The ideal candidate would have a solid understanding of medical claim data, experience with data analysis & visualization and well-developed leadership skills.

Required Qualifications

• 7+ years relevant work experience in the healthcare industry
• Solid understanding and experience interpreting medical claim data
• Advanced experience in SAS coding sourcing from a data warehouse
• 5+ years of data interpretation and analysis experience
• 5+ years of project leadership experience
• Advanced experience in Excel

Preferred Qualifications

• Experience in healthcare fraud, waste and abuse
• Knowledge of healthcare claims adjudication & provider information
• Experience with financial calculations (PMPM calculations, trend analysis & forecasting) and analysis to ensure data integrity
• SQL, Tableau or Power BI experience
• 5+ years of demonstrated leadership - ability to scope out new projects, develop timelines & deliverables

Education

• Bachelor's degree or equivalent professional work experience

Pay Range

The typical pay range for this role is:$67,900.00 - $199,144.80

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. This position also includes an award target in the company's equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit Benefits | CVS HealthWe anticipate the application window for this opening will close on: 03/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.