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.

Position: Clinical Support Analyst

Location: Work at Home - Must work EST

Travel: None

Position Summary

The LTSS Operations Analyst supports LTSS leadership by managing operational reporting, monitoring case management assignments and caseloads, supporting timely State reporting, and providing data-driven insight to improve performance, compliance, and member outcomes. This role helps ensure work is completed accurately, timely, and in alignment with contractual and regulatory requirements.

Key Responsibilities - simplified

Case Management Assignment & Caseload Management

• 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.

State, Contractual & Operational Reporting

• 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.

Data Analytics & Operational Monitoring

• 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.

Strategic & Process Improvement Support

• 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.

Collaboration & Communication

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

Minimum Qualifications

• 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.

Preferred Experience

• 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.

Success Measures

• 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.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/30/2026

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