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Project Lead, Special Investigations Unit

Company: CVS Health
Location: Hartford
Posted on: April 5, 2021

Job Description:

Join #TeamCVS - We're Hiring! - Project Lead, Special Investigations Unit in Hartford, CT US - CVS HEALTH cvshealth.com Main menu

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    • Project Lead, Special Investigations Unit Project Lead, Special Investigations Unit Apply Now Job Title: Project Lead, Special Investigations Unit Job ID: 1556396BR Location: CT - Hartford-CT - WORK FROM HOME Street Address: 151 Farmington Ave Rogers Bldg Category: Analytics-Aetna Job Description
      The Aetna Special Investigations Unit (SIU) is responsible for the detection, investigation, and prevention of all suspected cases of healthcare fraud. The Project Lead position resides within our Systems & Reporting team. The team is accountable for financial reporting, application development, investigative reporting support and analytic techniques to uncover patterns of fraud, waste or abuse within claims data. We are looking for a data-driven individual that can analyze big data and create a story through data aggregation and reporting.

      Job responsibilities include:
      - Oversee and or assist project team with creating complex queries, complex technical programming
      - Knowledge of analytics tools to analyze large data sets to identify trends, spikes or anomalies within the data
      - Create and communicate messages based on available data from real-time analyses, including preparing easy-to-understand charts, tables, graphs, and other related documents for diverse audiences
      - Understand data nuances; improve data quality
      - Work with advisers from key functional areas to understand potential project impact on the organization, align project work, and execute activities accordingly
      - Present to internal/external customers, constituents and business partners
      - Oversees the analysis, planning, design and development being performed by project team to support accurate maintenance of support systems for business areas.
      - Influences change or enhancements to business processes, policies and system infrastructure to improve information quality, availability and access.

      This role can be considered Work From Home in the US. Ideal location would be Hartford, CT or East Coast support hours.

      Required Qualifications
      - Intermediate/Advanced SAS and SQL coding experience
      - Advanced experience in Excel
      - Demonstrated ability to effectively coordinate multiple projects simultaneously
      - Excellent verbal and written communication skills
      - 3+ years of data interpretation and analysis experience
      - 3+ years of project management experience

      Preferred Qualifications
      - Solid understanding of medical and pharmaceutical claim data
      - Experience as a business developer in Tableau or Power BI to create and maintain internal dashboards, trends and metrics
      - MS Access
      2+ years of demonstrated leadership

      Education
      Bachelor's degree or equivalent work experience.

      Business Overview
      At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
      We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. Apply Now Chat with a Recruiter Not ready to apply? Join our talent community We are committed to a workplace that supports diversity, inclusion and belonging. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT. Please note that we only accept applications for employment via this site. We provide reasonable accommodations to individuals with disabilities. To request an accommodation, including a qualified interpreter, written information in other formats, translation or other services, please email AdviceandCounsel@cvshealth.com or call 877-805-9511.If technical issues are preventing you from applying to a position, contact Kenexa Helpdesk at 1-855-338-5609 or--cvshealthsupport@us.ibm.com .--For technical issues with the Virtual Job Tryout, contact the Modern Hire Help Desk at 1-877-451-1695 or--cvs_support@modernhire.com .The health and safety of our employees, patients, customers, and members is our top priority as we face the impact of COVID-19 together. We encourage you to visit our COVID-19 resource center at--https://cvshealth.com/covid-19 --to learn more.--Please be aware that CVS Health does not will never solicit money or offer payment for job applications, nor do we ask candidates to email or submit any personal information over unsecured channels. To learn more, please visit--https://jobs.cvshealth.com/FAQ . EEO IS THE LAW EEO IS THE LAW SUPPLEMENT Changing the future of health care at CVS Health It's a New Day in Health Care at CVS Health CVS Health Colleagues Represent Heart at Work About CVS HealthAt CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. Quick Links
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Keywords: CVS Health, Hartford , Project Lead, Special Investigations Unit, Other , Hartford, Connecticut

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