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Senior Informatics Manager, Risk Adjustment Analytics Remote at CVS Health - ApplyBlast

Senior Informatics Manager, Risk Adjustment Analytics Remote

CVS Health

4 months ago

3.2 on Glassdoor

Massachusetts

Onsite

Full Time

Senior

0 applicants

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About this role

A Senior Informatics Manager at CVS Health leads a small team in executing complex data analyses to drive health plan-level risk adjustment performance. The role involves interpreting large healthcare datasets, translating findings into actionable strategies, and ensuring compliance with CMS and state Medicaid regulatory requirements. This position partners across finance, actuary, and analytics teams to support health plan initiatives while developing scalable reporting tools.

Responsibilities

Lead a small team in designing and delivering advanced analytics solutions
Evaluate health plan performance using Medicaid and Medicare data
Translate complex analytical findings into actionable business strategies
Develop scalable reporting dashboards and performance monitoring tools
Ensure data accuracy and governance across all analytical outputs

Skills

Qualifications

Bachelor's DegreeCMS Compliance KnowledgeMedicaid ExperienceRisk Adjustment MethodologyHealthcare Analytics Experience

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.