Clinical Support Analyst - Work at Home

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.

• Manage case management assignments from initial outreach through reassignment and monthly caseload rebalancing.
• Monitor caseload distribution to support staffing alignment, workload balance, and contractual requirements.
• Track assignment changes and ensure operational data remains accurate and current.

• Prepare and support timely State-required reports with accurate, detailed information prior to submission.
• Track performance against contractual, regulatory, and organizational requirements.
• Validate data for accuracy, completeness, and reporting integrity.

• Develop and maintain reports, dashboards, scorecards, and tracking tools.
• Monitor KPIs, identify trends, and provide leadership with actionable insights.
• Analyze staffing, productivity, workload distribution, utilization activity, and provider-related impacts.

• Partner with LTSS leaders to identify process gaps, risks, and improvement opportunities.
• Prepare executive summaries, presentations, and business review materials.
• Support audits, accreditation activities, special projects, and regulatory readiness efforts.

• Collaborate with Case Management, Quality, Network, Compliance, Finance, and Provider Relations.
• Communicate findings clearly and concisely to support timely operational action.

• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Data Analytics, or related field preferred.
• 2+ years of healthcare, managed care, business analytics, or operational analysis experience.
• Advanced proficiency in Microsoft Excel, required
• Experience with Power BI, Tableau, QuickBase, SQL, or similar reporting tools preferred.
• Strong analytical, organizational, and problem-solving skills.
• Excellent written and verbal communication skills, required.

• Medicaid managed care experience.
• LTSS, case management, utilization management, or provider operations experience.
• Experience supporting executive reporting and performance improvement initiatives.
• Knowledge of healthcare quality metrics and regulatory requirements.

• Accuracy and timeliness of reporting deliverables.
• Identification of operational improvement opportunities.
• Support of contractual and regulatory performance goals.
• Effective communication of actionable insights.
• Stakeholder satisfaction with analytical support and reporting.

The typical pay range for this role is:

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.