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CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca
Senior Informatics Manager, Risk Adjustment Analytics
Location
Idaho + 2 moreAll locations: Idaho | Massachusetts | Texas
Posted
13 days ago
Salary
$67.9K - $199.1K / year
Seniority
Senior
Job Description
Senior Informatics Manager, Risk Adjustment Analytics
CVS Health
• Evaluate health plan performance using advanced analytics to identify trends, gaps, and opportunities across Medicaid populations • Design and execute complex analyses leveraging medical and pharmacy claims, encounter, provider, and membership data • Translate analytical findings into clear, actionable insights to drive health plan strategies and decision-making • Develop and maintain scalable reporting, dashboards, and performance monitoring tools • Support development of data models, forecasting approaches, and performance measurement frameworks • Ensure data accuracy, integrity, and governance across reporting and analytical outputs • Identify and implement process improvements through automation and advanced analytics • Communicate complex findings effectively to both technical and non-technical stakeholders • Support compliance with CMS and state Medicaid requirements through accurate, timely reporting and analysis
Job Requirements
- 8+ years of relevant professional experience in healthcare analytics, including working with claims and encounter data
- 2+ years of leadership experience managing, coaching, or mentoring team members
- Experience with government-regulated healthcare programs (Medicaid, Medicare, and/or ACA)
- Advanced technical skills in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, or similar programming languages
- Demonstrated experience working with large, complex healthcare datasets and performing root cause analysis
- Proven ability to manage multiple projects and competing priorities in a fast-paced environment
- Strong ability to translate technical analyses into actionable business insights
- Excellent communication skills across technical and non-technical audiences
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources
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