Director, Risk Adjustment Analytics & Insights

Sacbar; California (MO); On-site; USD 100,000 - 232,000; Full time

Benefits offered by this job

Bonus potential

Equity award program

Comprehensive benefits

Job summary

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights influencing provider performance, program efficiency, and executive decisions.

The role is customer-facing, providing thought leadership across Market leads, Finance, Clinical, and Operational partners, and guiding staff on BI input modeling and calculations, with

Qualifications

• 10+ years in healthcare analytics, informatics, performance insights, actuarial, value-based or BI.
• 2+ years of leadership in analytics, reporting or business intelligence.
• Strong executive communication, strategic thinking and stakeholder management.
• Advanced experience with SQL, Python and BI platforms (Power BI, Tableau, QuickSight).
• Proven ability to manage complex analytics portfolios and prioritize work.

Responsibilities

• Lead risk adjustment performance reporting with dashboards and actionable insights.
• Oversee provider performance analytics to close gaps and drive outcomes.
• Advance analytics innovation with AI, automation and self-service tooling.
• Partner with Informatics, Data Engineering and IT to build scalable analytics solutions.
• Set KPI definitions, governance and enterprise analytics framework; align with stakeholders.

Skills

SQL

Python

Power BI

Tableau

QuickSight

Leadership

Stakeholder management

Education

Bachelor's degree

Master's degree in related field

Job description

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights influencing provider performance, program efficiency, and executive decisions.

The role is customer-facing, providing thought leadership across Market leads, Finance, Clinical, and Operational partners, and guiding staff on BI input modeling and calculations, with