Informatics Manager, Risk Adjustment Analytics

Requirements

• Knowledge of government-regulated healthcare programs such as Medicare or Medicaid
• Knowledge of health insurance concepts
• Experience working in risk adjustment
• Experience working at a health plan
• Attention to detail and working independently
• Project management experience
• Education
• Bachelor's Degree or equivalent work experience required Anticipated Weekly Hours
• 40 Time Type
• Full time Pay Range
• 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/benefitsWe anticipate the application window for this opening will close on: 06/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Additional Information

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.CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid lines of business. The position will involve extracting, collecting, analyzing, and interpreting health, utilization, and financial data from many sources to address business questions regarding population health management, health and economic outcomes, and other business needs. You will be responsible for maintaining risk score model integrity across multiple states and communicate to business leaders the key drivers of results. Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business! Successful candidates will possess the following abilities: - Design and code efficiently in SQL, SAS or similar programming language - Execute algorithms to solve business problems - Willing to probe into technical details, and problem solve - Build and improve processes - Juggle multiple priorities - Be organized and exhibit attention to detail Required Qualifications - 5 or more years of data analytics experience - 3 or more years of experience in technical programming fundamentals in SQL, SAS, or other data management software - 3 or more years of experience in creating reports and pivot tables in Excel

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