Healthcare SQL Data Analyst

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Healthcare SQL Data Analyst applies in-depth knowledge of healthcare data to support validation, correction, and execution of operational processes. This role is essential for maintaining data integrity and ensuring accuracy across Medicaid claims systems.

Key Responsibilities:

• Performs data validation, correction, and reconciliation within healthcare claims databases.
• Uses SQL extensively to query, analyze, and update data to support operational and compliance needs.
• Ensures data integrity by identifying inconsistencies, resolving errors, and maintaining accurate records across systems.
• Works with Medicaid claims data, applying domain knowledge to support audits, reporting, and regulatory compliance.
• Collaborates with internal teams to troubleshoot data issues and implement sustainable fixes.
• Supports operational workflows by providing clean, validated data for downstream processes.
• Documents data processes, validation logic, and resolution steps to ensure transparency and repeatability.
• Experience with 837 EDI files is helpful, particularly in understanding how data flows into claims systems.

Required Qualifications

• 3+ years of experience in healthcare data analysis or operations, including hands-on experience with Medicaid claims data, encompassing a familiarity with billing codes and adjudication processes.
• Strong proficiency in SQL for querying, data validation, and reporting.
• Understanding of healthcare data standards and privacy regulations (e.g., HIPAA).

Preferred Qualifications

• Resides in Arizona.
• Working knowledge of 837 EDI file formats (Institutional, Professional, Dental).
• Knowledge of healthcare payer systems, claims, and provider network data.
• Experience supporting audit or compliance initiatives.
• Detail-oriented with strong analytical and problem-solving skills.
• Ability to work independently and collaboratively in a fast-paced environment.
• Strong communication skills for cross-functional collaboration.
• Bachelor’s degree in Information Systems, Data Analytics, Health Informatics, or a related field.

Education

• Bachelor’s degree or equivalent experience (high school diploma or GED + 4 years of relevant experience).

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

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. 
 

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 10/03/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.