Director, Risk Adjustment Analytics & Insights

Hispanic Alliance for Career Enhancement; Minnesota; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Equity award program

Job summary

CVS Health is seeking a Lead Director of Informatics to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights to improve provider performance and program efficiency, using data storytelling and advanced visualizations.

This customer-facing role partners with Market leads, Finance, Clinical, and Operational teams, providing technical guidance on BI input modeling and calculations to advance reporting strategy

Qualifications

• 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
• 2+ years of leadership experience managing analytics, reporting, or business intelligence
• Strong executive communication, strategic thinking, stakeholder management, and team development skills.
• Advanced experience with programming languages (SQL, Python) and BI platforms (Power BI, Tableau, QuickSight)

Responsibilities

• Lead risk adjustment performance reporting with dashboards and KPI sharing at market, plan, and provider levels.
• Develop provider performance analytics to drive gap closure and risk adjustment outcomes.
• Drive analytics modernization with AI, automation, and self-service reporting capabilities.
• Collaborate with Informatics, Data Engineering, and IT to build scalable analytics solutions.

Skills

Executive communication

Strategic thinking

Stakeholder management

Team development

SQL

Python

Power BI

Tableau

QuickSight

Education

Bachelor's degree or equivalent

Master's degree in Business, Informatics, Analytics, Finance, Statistics, CS, Public Health, Healthcare analytics, Actuarial, Math, Economics

Tools

Power BI

Tableau

QuickSight

Job description

CVS Health is seeking a Lead Director of Informatics to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights to improve provider performance and program efficiency, using data storytelling and advanced visualizations.

This customer-facing role partners with Market leads, Finance, Clinical, and Operational teams, providing technical guidance on BI input modeling and calculations to advance reporting strategy