Data Analytics Manager

4062 Aetna Resources, LLC; United States; On-site; USD 66,000 - 146,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement savings

Paid time off

Wellness programs

Job summary

CVS Health is seeking an experienced healthcare analytics leader to drive complex data operations and risk-adjustment initiatives. You will lead cross-functional teams, ensure data quality, and align analytics with regulatory requirements to improve care delivery.

The role requires 7+ years in healthcare analytics and deep knowledge of CMS/HCC models, with hands-on experience in SQL, SAS, Databricks, and cloud platforms.

Qualifications

• 7+ years in healthcare analytics required.
• 5+ years in Medicare Risk Adjustment or ACA analytics.
• Experience leading cross-functional projects.
• Strong knowledge of CMS regulations and HCC models.

Responsibilities

• Lead cross-functional projects in data operations and analytics.
• Ensure data quality, governance, and regulatory compliance.
• Drive data-driven decision making and operational excellence.

Skills

Healthcare analytics

Cross-functional leadership

Regulatory compliance

Data governance

Education

Bachelor's degree or rel. work experience

Tools

SQL

SAS

Databricks

Cloud platforms

Power BI

Job description

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.

Responsibilities:

• Proven success leading cross‑functional projects in large‑scale healthcare data operations, compliance, data quality, and analytics initiatives.
• Expert in end‑to‑end Risk Adjustment processes, encounter data validation, HCC analytics, provider coding accuracy, CMS reporting, and healthcare data governance.
• Strong blend of technical expertise and leadership skills with experience driving operational excellence, regulatory compliance, and data‑driven decision making.

Required Qualifications:

• Experienced healthcare analytics professional with 7+ years of healthcare industry experience.
• 5+ years of Medicare Risk Adjustment, EDS, MAO‑004, or ACA analytics experience.
• Experience leading projects and healthcare data initiatives.
• Strong knowledge of CMS regulations, HCC models, and regulatory reporting.

Preferred Qualifications:

• Experience with SQL, SAS, Databricks, Cloud platforms (GCP/Azure/AWS), and Power BI.
• Background in healthcare claims, encounter data, and provider analytics.
• Experience with data governance, automation, and process improvement.
• Master’s degree a plus.

Education:

• Bachelor's degree or rel. work experience.

Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is: $66,330.00 - $145,860.00 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.

Great benefits for great people:

• medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources

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. Additional details about available benefits are provided during the application process and on Benefits Moments. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self‑disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

We anticipate the application window for this opening will close on: 11/04/2026.