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.
Position Summary
The Aetna Special Investigations Unit (SIU) Data Analytics team is seeking a highly skilled, data‑driven individual to lead complex analytics initiatives. This role is responsible for driving analytic project delivery, shaping data strategy and translating large, complex datasets into actionable insights for business partners and leaders. The individual in this role may also function as a team lead (non‑people manager).
The ideal candidate has a strong background in medical claims data, SQL and Python development, analytical methodologies, and data visualization. This role requires exceptional communication, planning, and cross-functional leadership skills.
This is an individual contributor role
Key Responsibilities
Development of SQL and Python analytics to support SIU metrics, reporting, and investigative insight
Translate large datasets into meaningful narratives that support decision-making and operational improvements.
Create clear, compelling data visualizations and narratives for technical and non‑technical audiences
Lead cross-functional project workstreams and act as the central coordinator for analytics-related deliverables across SIU and partner teams
Coach team members on performance measurement, KPI usage, and analytic best practices
Collaborate with business partners to understand requirements, impacts, and opportunities
Drive enhancements to data processes, system infrastructure, and reporting capabilities.
This is a work-from-home position in the US. supporting standard east coast business hours.
Required Qualifications
7-10 years work experience
Healthcare background
7+ years of analytics or data management experience
2+ years of experience in SQL, Python
Solid understanding of medical claim data
Demonstrated ability to lead cross-functional initiatives
Exceptional communication, presentation, and storytelling skills
Strong organizational, planning, and problem-solving capabilities
Preferred Qualifications
Experience working with medical claims data and healthcare analytics
FWA, SIU or health insurance operations experience
Knowledge of healthcare claims adjudication & provider information
Proficiency with data visualization tools (e.g., Tableau, Power BI)
We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week.
Aetna Service Operations office/hub locations will be discussed with the selected candidate.
Education
- Bachelor’s degree or equivalent experience in related field
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.00
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. This position also includes an award target in the company’s equity award program.
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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